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Contact Information

YVONNE G. MARASCALCO
1300 SUNSET DRIVE
SUITE C
GRENADA, MS38901
 Phone: 662-226-0666
 Fax: 662-226-1718
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for YVONNE G. MARASCALCO

NPI Number 1407969660
LBN Legal business name YVONNE G. MARASCALCO
Authorized official YVONNE MARASCALCO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/15/2006
Last updated 11/12/2015 - About 11 years ago
Identifiers
MS Medicaid 00330632
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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