Individual
DR. MARC P BERNARDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, MBA
Contact information
Practice address
897 LYNNHAVEN PKWY, VIRGINIA BEACH, VA 23452-7203
(757) 368-3273
(757) 368-2960
Mailing address
2408 COURTYARD LN, VIRGINIA BEACH, VA 23455-1393
(757) 289-1189
(973) 270-2466
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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