Provider Demographics
NPI:1255935532
Name:DELLAVECCHIA, FELICIA MAY (BS)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:MAY
Last Name:DELLAVECCHIA
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 MILES RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-1950
Mailing Address - Country:US
Mailing Address - Phone:610-429-3477
Mailing Address - Fax:610-696-7399
Practice Address - Street 1:760 MILES RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-1950
Practice Address - Country:US
Practice Address - Phone:610-429-3477
Practice Address - Fax:610-696-7399
Is Sole Proprietor?:No
Enumeration Date:2020-11-26
Last Update Date:2020-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP054343L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist