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Individual
DR. MARC P BERNARDUCCI
Active
Individual
DR. MARC P BERNARDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, MBA
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011922
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202011922
PHARMACY LICENSE
VA
01
—
2727
PHARMACY LICENSE
NH
01
—
3581
PHARMACY LICENSE
RI
01
—
4329
PHARMACY LICENSE
ME
Enumeration date
03/19/2007
Last updated
07/08/2007
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