Individual
MICHAEL VASCOCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8990 W GLENDALE AVE, GLENDALE, AZ 85305-1127
(632) 772-2730
Mailing address
8990 W GLENDALE AVE, GLENDALE, AZ 85305-1127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS39991
FL
Other
Enumeration date
05/26/2010
Last updated
01/28/2011
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