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General NPI Number Information
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NPI Number | 1811232697
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Entity Type | Individual
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Provider Name | ANTHONY MICHAEL CASEDONTE PHARM D
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Gender | Male
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Dates
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Enumeration Date | 12/04/2012
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 11701 ABERCORN ST
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City | SAVANNAH
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State | GA
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Zip | 31419-1905
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Country | US
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Telephone | 912-925-4117
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Fax |
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Provider Business Mailing Address
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Address Line | 1699 CHATHAM PKWY #1021A
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City | SAVANNAH
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State | GA
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Zip | 31405-7600
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Country | US
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Telephone | 706-713-6032
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 026744
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH.13943
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License Number State | SC
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