Provider Demographics
NPI:1568760270
Name:RICCIO FAMILY PHARMACY, INC.
Entity Type:Organization
Organization Name:RICCIO FAMILY PHARMACY, INC.
Other - Org Name:RICCIO FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:RICCIO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:215-639-6680
Mailing Address - Street 1:2217 BRISTOL PIKE STE 2
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-5720
Mailing Address - Country:US
Mailing Address - Phone:215-639-6680
Mailing Address - Fax:215-639-6683
Practice Address - Street 1:2217 BRISTOL PIKE STE 2
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5720
Practice Address - Country:US
Practice Address - Phone:215-639-6680
Practice Address - Fax:215-639-6683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4821123336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy