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Contact Information

BERNARD D DICREDICO JR, RPH
17 HILL DR
ELIOT, ME03903-1009
 Phone: 207-439-0176
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for BERNARD D DICREDICO JR · (Male)

NPI # 1396911210
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 04/30/2008
Last updated 04/30/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # PR3201
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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