Provider Demographics
NPI:1104422369
Name:DELPRIORA, MICHAEL (PHARMACIST)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:DELPRIORA
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 ROUTE 9 N
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1572
Mailing Address - Country:US
Mailing Address - Phone:732-617-1705
Mailing Address - Fax:732-617-1674
Practice Address - Street 1:280 ROUTE 9 N
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1572
Practice Address - Country:US
Practice Address - Phone:732-617-1705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RJ04896183500000X
NJ28RI01895400183500000X, 1835C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835C0205XPharmacy Service ProvidersPharmacistCritical Care
No183500000XPharmacy Service ProvidersPharmacist