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Marvin Edward Berberette

Pharmacist in Homosassa, FL. Individual provider (NPI-1).

NPI number1629315569
StatusActive
Last updated in NPPESJan 11, 2013

Details

NPI
1629315569
Entity type
Individual (NPI-1)
Name
Marvin Edward Berberette
Sex
Male
Sole proprietor
No
Enumeration date
Jan 11, 2013
Last updated
Jan 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS23381FLYes

Practice location

9525 S Suncoast Blvd
Homosassa, FL 34446-5034

Phone 352-382-1155 · Fax 352-382-0983

Mailing address

9525 S Suncoast Blvd
Homosassa, FL 34446-5034

Phone 352-382-1155 · Fax 352-382-0983

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