Organization
YVONNE G. MARASCALCO
Active
Other names
FIRST HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE G MARASCALCO (OWNER)
(662) 230-1940
Entity
Organization
Contact information
Practice address
1300 SUNSET DRIVE, SUITE C, GRENADA, MS 38901
(662) 226-0666
(662) 226-1718
Mailing address
1300 SUNSET DRIVE, SUITE C, GRENADA, MS 38901
(662) 226-0666
(662) 226-1718
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330632
—
MS
Enumeration date
08/15/2006
Last updated
11/12/2015
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