# FREDERICK DEMELLA JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730057571
- **Gender:** Man
- **Credential:** RPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 0202012795 | VA | — |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | PCT.0005764 | CT | — |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | PS53140 | FL | Yes |

## Other

- **Enumeration date:** 10/24/2025
- **Last updated:** 10/24/2025