MEDICARE: DENA CARETTI RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP040019L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RPI009353	OTHER	PA	PA AUTHORIZATION TO ADMINISTER INJECTABLES
2	RP040019L	OTHER	PA	PHARMACY LICENSE

General Provider Information

NPI Number	:	1871193052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENA CARETTI RPH

Provider Business Mailing Address
First Line	:	311 N MAIN ST
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-1211
Country	:	US
Telephone Number	:	843-290-3201
Fax Number	:

Provider Business Practice Location Address
First Line	:	3163 STATE ROUTE 257 STE 1
Second Line	:
City	:	SENECA
State	:	PA
Zip	:	16346-2425
Country	:	US
Telephone Number	:	814-677-1408
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2020
Last Update Date	:	04/02/2021

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Directions to “ DENA CARETTI RPH” Practice Location

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