Provider Demographics
NPI:1861159105
Name:MARCANO, LORRAINE ANN (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:ANN
Last Name:MARCANO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 233
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-9707
Mailing Address - Country:US
Mailing Address - Phone:787-826-6453
Mailing Address - Fax:
Practice Address - Street 1:CARR. 401 KM 0.9 BO. PLAYA
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610-9707
Practice Address - Country:US
Practice Address - Phone:787-826-6453
Practice Address - Fax:787-826-6453
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-22
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6775183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist