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Individual

VINCENT JOSEPH RUSCIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
113 W CHARLES ST, HAMMOND, LA 70401-3232
(985) 542-8466
(985) 542-2561
Mailing address
113 W CHARLES ST, HAMMOND, LA 70401-3232
(985) 542-8466
(985) 542-2561

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14170
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1804622
LA
Enumeration date
11/11/2009
Last updated
11/11/2009
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