| Doctor Name: | MR. JOHN JOSEPH VIRGINIO |
| NPI Number: | 1164744108 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.S. PHARMACY |
| License Number: | 0003842 |
| Business Practice Address: | 447 Doughty Blvd Inwood, NY - 110961345 |
| Business Phone Number: | 8888063379 |
| Business Fax Number: | 5162818836 |
| Mailing Address: | 1960 N Commerce Pkwy, Suite 8 WESTON |
| State: | FL |
| Postal Code: | 333263247 |
| Phone Number: | 8888063379 |
| Fax Number: | 9543840847 |
| NPI Enumeration Date: | 02/18/2010 |
| NPI Last Update Date: | 02/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | 0003842 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VT |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |