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Contact Information

JUSTIN COLUCCI, PHARM.D.
401 BICENTENNIAL WAY
SANTA ROSA, CA95403-2149
 Phone: 707-393-4119
 Fax: 866-296-6825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oncology

1835X0200X
Indicates primary specialty

NPI Profile & details for JUSTIN COLUCCI · (Male)

NPI Number 1013792522
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 08/31/2023
Last updated 08/31/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 64178
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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