Individual
DAN DOMINIC FUCARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BPHARM
Contact information
Practice address
11775 N. DALE MABRY HWY, TAMPA, FL 33618-3503
(813) 961-8798
(813) 962-0092
Mailing address
11775 N. DALE MABRY HWY, TAMPA, FL 33618-3503
(813) 961-8798
(813) 962-0092
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS18126
FL
Other
Enumeration date
11/06/2006
Last updated
08/03/2012
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