Mr Vincent Albert Destasio Jr, RPH - Pharmacist in Canton, GA

Mr Vincent Albert Destasio Jr, RPH is a Pharmacist based in Canton, Georgia. Mr Vincent Albert Destasio Jr is licensed to practice in Georgia (license number RPH023608) and his current practice location is 6111 Hickory Flat Hwy, Canton, Georgia. He can be reached at his office (for appointments etc.) via phone at (770) 479-7039.

NPI number for Mr Vincent Albert Destasio Jr is 1841573185 and his current mailing address is 6111 Hickory Flat Hwy, Canton, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841573185.

Contact Information

Mr Vincent Albert Destasio Jr, RPH
6111 Hickory Flat Hwy,
Canton, GA 30115-7253
(770) 479-7039
(770) 479-5923

Map and Direction


Healthcare Provider's Profile

Full NameMr Vincent Albert Destasio Jr
GenderMale
SpecialityPharmacist
Location6111 Hickory Flat Hwy, Canton, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841573185
  • Provider Enumeration Date: 09/22/2011
  • Last Update Date: 09/22/2011

Medical Identifiers

Medical identifiers for Mr Vincent Albert Destasio Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841573185NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist RPH023608 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Vincent Albert Destasio Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Vincent Albert Destasio Jr, RPH
6111 Hickory Flat Hwy,
Canton, GA 30115-7253

Ph: (770) 479-7039
Mr Vincent Albert Destasio Jr, RPH
6111 Hickory Flat Hwy,
Canton, GA 30115-7253

Ph: (770) 479-7039

Reviews and Comments


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