Provider Demographics
NPI:1619571916
Name:MARCOS, DAMARIS MARIA (PHARMD, RPH)
Entity Type:Individual
Prefix:MRS
First Name:DAMARIS
Middle Name:MARIA
Last Name:MARCOS
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8495 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32967-5661
Mailing Address - Country:US
Mailing Address - Phone:772-589-2822
Mailing Address - Fax:772-589-2904
Practice Address - Street 1:8495 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32967-5661
Practice Address - Country:US
Practice Address - Phone:772-589-2822
Practice Address - Fax:772-589-2904
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52818183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist