Individual provider · Type 1 NPI
Vincent Albert Destasio Jr., RPH
Pharmacist · Canton, GA
Practice location
6111 Hickory Flat Hwy
Canton, GA 30115-7253
Fax (770) 479-5923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | RPH023608 (GA) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
3 other providers at this address
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About NPI 1841573185
Vincent Albert Destasio Jr., RPH's National Provider Identifier is 1841573185, issued on Sep 22, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Canton, GA. The record was last updated on Sep 22, 2011.