Provider Demographics
NPI:1881914489
Name:MARCANO, CLAUDETTE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CLAUDETTE
Middle Name:
Last Name:MARCANO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6720 S. FLORIDA AVE.
Mailing Address - Street 2:APT. 6305
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813
Mailing Address - Country:US
Mailing Address - Phone:412-841-7158
Mailing Address - Fax:
Practice Address - Street 1:6210 LAKELAND HIGHLANDS RD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-3844
Practice Address - Country:US
Practice Address - Phone:863-647-3551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440685183500000X
NY050988183500000X
NJ28RI03043700183500000X
FLPS58830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacist