Provider Demographics
NPI:1114203726
Name:PIGNATARO, ALEXANDER PAUL (RPH)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:PAUL
Last Name:PIGNATARO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 S POWERLINE RD
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-4307
Mailing Address - Country:US
Mailing Address - Phone:561-381-7603
Mailing Address - Fax:
Practice Address - Street 1:960 S POWERLINE RD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-4307
Practice Address - Country:US
Practice Address - Phone:954-970-8869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20157183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist