Most Relevant Information
Provider Data
| NPI Number: | 1003429333 |
| Provider Name: | NICHOLAS CANTIELLO PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS60754 |
Most Important Dates
| Enumeration Date: | 08/26/2020 |
| Last Updated: | 08/26/2020 |
Provider Practice Location
9310 SW 56TH ST
MIAMI
FL
331656529
Practice Location Phone/Fax
| Phone: | 3052743040 |
| Fax: |
Provider Mailing Location
9310 SW 56TH ST
MIAMI
FL
331656529
Provider Mailing Phone/Fax
| Phone: | 3052743040 |
| Fax: |