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NPI Code Detail

MEDICARE: MR. ANTHONY CIORCIARI R.PH.

MEDICARE: MR. ANTHONY CIORCIARI R.PH.
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
1183500000XPharmacist15398CO

General Provider Information

NPI Number : 1992043434
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTHONY CIORCIARI R.PH.
Provider Business Mailing Address
First Line : 2512 BROADWAY
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81507-2758
Country : US
Telephone Number : 970-257-0233
Fax Number :
Provider Business Practice Location Address
First Line : 2512 BROADWAY
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81507-2758
Country : US
Telephone Number : 970-257-0233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2013
Last Update Date : 02/01/2013

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