NPI | 1700148558 |
---|---|
Former Name | ANTHONY J AMENDOLIA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: PA RP439479) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RPI000841) |
Enumeration Date | 2012-06-07 |
Last Update Date | 2024-10-04 |