Provider Demographics
NPI:1184915209
Name:SACCHI, GEORGE JOSEPH II (RPH)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:JOSEPH
Last Name:SACCHI
Suffix:II
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:578 ROUTE 519
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:NJ
Mailing Address - Zip Code:07461-2901
Mailing Address - Country:US
Mailing Address - Phone:862-354-1316
Mailing Address - Fax:
Practice Address - Street 1:300 W HARFORD ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-1107
Practice Address - Country:US
Practice Address - Phone:570-296-8866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-23
Last Update Date:2011-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045200R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist