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NPI Code Detail

MEDICARE: ANDREA CANDACE MARINARO

MEDICARE:   ANDREA CANDACE MARINARO
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
1183500000XPharmacistRP439720PA

General Provider Information

NPI Number : 1033365242
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA CANDACE MARINARO
Provider Business Mailing Address
First Line : 108 ASCOT CT
Second Line :
City : NORTH WALES
State : PA
Zip : 19454-4518
Country : US
Telephone Number : 215-834-6989
Fax Number :
Provider Business Practice Location Address
First Line : 7700 CRITTENDEN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19118-4421
Country : US
Telephone Number : 215-242-8022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2008
Last Update Date : 08/07/2008

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Directions to “ ANDREA CANDACE MARINARO ” Practice Location

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