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Mr. Vincent Albert Destasio JR., RPH
Pharmacist in Canton, Georgia
NPI 1841573185

Vincent Albert Destasio JR. is a Pharmacist based in Canton, GA. Vincent Albert Destasio JR. practices in Canton, GA and has the professional credentials of RPH. The NPI Number for Vincent Albert Destasio JR. is 1841573185 and holds a License No. RPH023608 (Georgia).

The current practice location address for Vincent Albert Destasio JR. is 6111 Hickory Flat Hwy, Canton, GA and can be reached out via phone at 770-479-7039 and via fax at 770-479-5923. You can also correspond with Vincent Albert Destasio JR. through the mailing address at 6111 HICKORY FLAT HWY, CANTON, GA - 30115-7253 (mailing address contact number: 770-479-7039).

Location: 6111 Hickory Flat Hwy, Canton, GA, 30115-7253
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841573185
Provider Name
Vincent Albert Destasio JR.
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
6111 Hickory Flat Hwy, Canton, GA, 30115-7253
Phone Number
770-479-7039
Fax Number
770-479-5923
Provider Enumeration Date
09/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6111 Hickory Flat Hwy
City
Canton
State
Georgia
Zip
30115-7253
Phone Number
770-479-7039
Fax Number
770-479-5923
person
Provider Business Mailing Address Details
Address
6111 Hickory Flat Hwy
City
Canton
State
Georgia
Zip
30115-7253
Phone Number
770-479-7039
Fax Number
770-479-5923
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
RPH023608 (Georgia)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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