Provider Demographics
NPI:1528661097
Name:FUSCO, JOEMICHAEL TURNEY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOEMICHAEL
Middle Name:TURNEY
Last Name:FUSCO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4521 S LABURNUM AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-2421
Mailing Address - Country:US
Mailing Address - Phone:804-836-1861
Mailing Address - Fax:804-836-1871
Practice Address - Street 1:4521 S LABURNUM AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-2421
Practice Address - Country:US
Practice Address - Phone:804-836-1861
Practice Address - Fax:804-836-1871
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022185861835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist