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NPI Code Detail

MEDICARE: CARMINE EDWARD PRISCO III PHARM D

MEDICARE:   CARMINE EDWARD PRISCO III PHARM D
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
1183500000XPharmacist21403NC
2183500000XPharmacistPH233557MA

General Provider Information

NPI Number : 1871800672
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMINE EDWARD PRISCO III PHARM D
Provider Business Mailing Address
First Line : 350 MAIN ST STE 640
Second Line :
City : MALDEN
State : MA
Zip : 02148-5089
Country : US
Telephone Number : 866-319-8257
Fax Number : 617-806-8577
Provider Business Practice Location Address
First Line : 350 MAIN ST STE 640
Second Line :
City : MALDEN
State : MA
Zip : 02148-5089
Country : US
Telephone Number : 866-319-8257
Fax Number : 617-806-8577
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2010
Last Update Date : 05/16/2023

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Directions to “ CARMINE EDWARD PRISCO III PHARM D” Practice Location

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