# YVONNE G. MARASCALCO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FIRST HEALTH PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407969660
- **Authorized official:** YVONNE G MARASCALCO (OWNER)
- **Authorized official phone:** (662) 230-1940

## Contact information

- **Practice address:** 1300 SUNSET DRIVE, SUITE C, GRENADA, MS 38901
- **Practice address phone:** (662) 226-0666
- **Practice address fax:** (662) 226-1718
- **Mailing address:** 1300 SUNSET DRIVE, SUITE C, GRENADA, MS 38901
- **Mailing address phone:** (662) 226-0666
- **Mailing address fax:** (662) 226-1718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 11/12/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330632 | — | MS |