Provider Demographics
NPI:1851177695
Name:MACRI, NICHOLAS P (PHARMD)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:P
Last Name:MACRI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 MARKET ST LBBY 101
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-3972
Mailing Address - Country:US
Mailing Address - Phone:215-563-4860
Mailing Address - Fax:215-563-7514
Practice Address - Street 1:1700 MARKET ST LBBY 101
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-3972
Practice Address - Country:US
Practice Address - Phone:215-563-4860
Practice Address - Fax:215-563-7514
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449750183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist