| Tracey A Licciardi, RPH | |
|
375 Route 36, Port Monmouth, NJ 07758-1359 | |
| (732) 787-1041 | |
| (732) 787-5632 |
| Full Name | Tracey A Licciardi |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 375 Route 36, Port Monmouth, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740464031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 28RI02766900 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey A Licciardi, RPH 7 Bingham Dr, Marlboro, NJ 07746-2229 Ph: (732) 617-7195 | Tracey A Licciardi, RPH 375 Route 36, Port Monmouth, NJ 07758-1359 Ph: (732) 787-1041 |
James Park, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 375 Route 36, Port Monmouth, NJ 07758 Phone: 732-832-7041 | |
Mrs. Yelena Tulman, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 200 Wilson Ave, Port Monmouth, NJ 07758 Phone: 732-495-0156 | |
Pankti Shah, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 200 Wilson Ave, Port Monmouth, NJ 07758 Phone: 732-495-0156 | |
Ogugua Osefoh, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 375 State Route 36, Port Monmouth, NJ 07758 Phone: 732-832-7041 | |
Dr. Danyelle Rolnick, PHARM.D., RPH., CCP Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 52 Willow St, Port Monmouth, NJ 07758 Phone: 845-532-8689 | |
Ruth Marietta, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 375 Highway 36, Port Monmouth, NJ 07758 Phone: 732-832-7041 Fax: 732-832-7043 |