Provider Demographics
NPI:1689919201
Name:PASQUINI, MARC JOSEPH (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:JOSEPH
Last Name:PASQUINI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:MARC
Other - Middle Name:JOSEPH
Other - Last Name:PASQUINI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:175 SAN LEANDRO WAY
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-1946
Mailing Address - Country:US
Mailing Address - Phone:415-566-7346
Mailing Address - Fax:
Practice Address - Street 1:730 TARAVAL ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-2515
Practice Address - Country:US
Practice Address - Phone:415-665-0119
Practice Address - Fax:415-665-3202
Is Sole Proprietor?:No
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH22522183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist