Individual
CASEY AMENDOLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3040 VENTURE LN STE 103, MELBOURNE, FL 32934-8173
(321) 242-2996
Mailing address
1402 KNAVE LN, MALABAR, FL 32950-3308
(954) 655-5041
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT29772
FL
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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