Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Therese Jane Micolucci

Individual provider Pharmacist · NPI 1457955841

Therese Jane Micolucci is a Pharmacist in Saint Augustine, Florida. Works from 4 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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Practice location Partly verified

Some contact details are missing from the federal record.

2355 US Highway 1 S
Saint Augustine, FL 32086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2355 Us Highway 1 S, Saint Augustine, FL 32086-6072
  • 2355 Us Highway 1 S, Saint Augustine, FL 32086-6072
  • 2355 Us Highway 1 S, St Augustine, FL 32086-6072

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS15718 (FL)

Record details

NPI number1457955841
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2020
Last updated in NPPESNovember 25, 2020
Certification dateNovember 18, 2020
Mailing address2355 Us Highway 1 S, Saint Augustine, FL 32086-6072

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