Provider Demographics
NPI:1750040192
Name:MARCELLUS, VALERIE (PHARMD, BCACP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:MARCELLUS
Suffix:
Gender:F
Credentials:PHARMD, BCACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7449 NW 47TH PL
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-3415
Mailing Address - Country:US
Mailing Address - Phone:754-779-6539
Mailing Address - Fax:
Practice Address - Street 1:10910 PEMBROKE RD
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-1706
Practice Address - Country:US
Practice Address - Phone:954-276-1319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS601881835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care