Provider Demographics
NPI:1235499013
Name:MACEDO MCCUTCHEON, LIVIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LIVIA
Middle Name:
Last Name:MACEDO MCCUTCHEON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LIVIA
Other - Middle Name:
Other - Last Name:MACEDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2830 EASTON AVE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-4204
Mailing Address - Country:US
Mailing Address - Phone:484-526-3555
Mailing Address - Fax:
Practice Address - Street 1:2830 EASTON AVE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-4204
Practice Address - Country:US
Practice Address - Phone:484-526-3555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-25
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS11732183500000X
PARP452135183500000X
TX55458183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist