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MARCO DANGELO
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1720360480
Individual Registrant: MARCO DANGELO
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
33975 DATE PALM DR CATHEDRAL CITY, CA 92234-4736 US
Tel: 760-202-3533 Fax: --
Tel: 760-202-3533 Fax: --
Contact information for business:
33975 DATE PALM DR CATHEDRAL CITY, CA 92234-4736 US
Tel: 760-202-3533 Fax: --
Tel: 760-202-3533 Fax: --
Registration Information:
NPI: 1720360480
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | 60815 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
