Provider Demographics
NPI:1255876751
Name:NETTO, VINCENT (PHARMD)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:
Last Name:NETTO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:VINCE
Other - Middle Name:
Other - Last Name:NETTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1314 ELEMENT WAY APT 12102
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-1625
Mailing Address - Country:US
Mailing Address - Phone:330-774-8823
Mailing Address - Fax:
Practice Address - Street 1:264 SMITH TOWNSHIP STATE RD STE 5
Practice Address - Street 2:
Practice Address - City:BURGETTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15021-2124
Practice Address - Country:US
Practice Address - Phone:330-774-8823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-20
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP450706183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist