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1154927093
MARK MASCITELLI
SANTA ROSA, CA
NPI
1154927093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA RPH83816)
Enumeration Date
2020-12-07
Last Update Date
2020-12-07
Business Address
-- MARK MASCITELLI Rph
2700 YULUPA AVE
SANTA ROSA, CA 95405-8577
Phone number: 707-545-7500
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Mailing Address
-- MARK MASCITELLI Rph
816 OLIVE GLEN CT
SANTA ROSA, CA 95404-6801
Phone number: 772-215-5909
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