Provider Demographics
NPI:1306158324
Name:PARRADO, ROBERT MARIO (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MARIO
Last Name:PARRADO
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 1:7922 FLOWERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-1834
Mailing Address - Country:US
Mailing Address - Phone:813-361-0491
Mailing Address - Fax:813-249-1409
Practice Address - Street 1:7922 FLOWERFIELD DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-1834
Practice Address - Country:US
Practice Address - Phone:813-361-0491
Practice Address - Fax:813-249-1409
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS00127011835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy