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Individual
MR. ROBERT FUSCO SR.
Active
Individual
MR. ROBERT FUSCO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCY.2067
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY.2067
PHARMACY LICENSE
CT
Enumeration date
08/12/2006
Last updated
07/08/2007
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