MEDICARE: DR. EMILY A FUSCO PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI03322700	NJ

General Provider Information

NPI Number	:	1124354287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY A FUSCO PHARMD

Provider Business Mailing Address
First Line	:	12011 VICTORIAN OAKS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-5809
Country	:	US
Telephone Number	:	210-368-2130
Fax Number	:

Provider Business Practice Location Address
First Line	:	12011 VICTORIAN OAKS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-5809
Country	:	US
Telephone Number	:	210-368-2130
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2009
Last Update Date	:	10/26/2009

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