Individual
RICHARD A MARASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM., FASCP, CGP
Contact information
Practice address
3982 KINDERLOU FOREST, VALDOSTA, GA 31601
(229) 977-0275
(610) 822-7340
Mailing address
3982 KINDERLOU FOREST, VALDOSTA, GA 31601
(229) 977-0275
(610) 822-7340
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
PS34481
FL
1835P1200X
Pharmacotherapy Pharmacist
PU5191
FL
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH015613
GA
Other
Enumeration date
11/02/2005
Last updated
07/08/2007
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