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Individual

MR. SCOTT P STASO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9717 KEY WEST AVE, ROCKVILLE, MD 20850-3982
(800) 225-5967
(909) 799-4364
Mailing address
PO BOX 640105, CINCINNATI, OH 45264-0105
(800) 225-5967
(909) 799-4364

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10351
MD

Other

Enumeration date
02/19/2010
Last updated
02/19/2010
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