Anthony Michael Desivo, PHARMD

NPI #1114231990 in Holbrook, New York

Provider Information

NPI Number: 1114231990
Entity Type: Individual
Name: Anthony Michael Desivo, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 3, 2010
Last Updated: Aug 3, 2010

Practice Location

Address: 305 MAIN ST
City: Holbrook
State: New York
ZIP Code: 11741-1501
Phone: (631) 467-3444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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