Provider Demographics
NPI:1417283201
Name:FUSCO, VALERIE JOY (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:JOY
Last Name:FUSCO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:VALERIE
Other - Middle Name:JOY
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:RR 4 BOX 414
Mailing Address - Street 2:MT ZION ROAD
Mailing Address - City:WEST PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18643-9329
Mailing Address - Country:US
Mailing Address - Phone:570-388-0975
Mailing Address - Fax:
Practice Address - Street 1:128 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NANTICOKE
Practice Address - State:PA
Practice Address - Zip Code:18634-3113
Practice Address - Country:US
Practice Address - Phone:570-740-5246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041569L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist