Provider Demographics
NPI:1144041401
Name:VICARETTI, JULIA KATHRYN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:KATHRYN
Last Name:VICARETTI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 CONNECTICUT ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14213-2541
Mailing Address - Country:US
Mailing Address - Phone:716-923-4603
Mailing Address - Fax:716-923-4604
Practice Address - Street 1:301 CONNECTICUT ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14213-2541
Practice Address - Country:US
Practice Address - Phone:716-923-4603
Practice Address - Fax:716-923-4604
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072058183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist