Provider Demographics
NPI:1306128020
Name:ARGUDIN, CELESTINO JOSE III (RPH)
Entity type:Individual
Prefix:MR
First Name:CELESTINO
Middle Name:JOSE
Last Name:ARGUDIN
Suffix:III
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 1:1106 CLEARLAKE RD
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32922-6402
Mailing Address - Country:US
Mailing Address - Phone:321-632-3150
Mailing Address - Fax:321-633-4762
Practice Address - Street 1:1106 CLEARLAKE RD
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32922-6402
Practice Address - Country:US
Practice Address - Phone:321-632-3150
Practice Address - Fax:321-633-4762
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 21555183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist