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NPI Code Detail

MEDICARE: KELLY CASTALDO PHARM. D.

MEDICARE: KELLY CASTALDO PHARM. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist14572-040WI

General Provider Information

NPI Number : 1861776536
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY CASTALDO PHARM. D.
Provider Business Mailing Address
First Line : 3701 S HOWELL AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-3838
Country : US
Telephone Number : 414-482-1470
Fax Number : 414-482-9658
Provider Business Practice Location Address
First Line : 3701 S HOWELL AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-3838
Country : US
Telephone Number : 414-482-1470
Fax Number : 414-482-9658
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2011
Last Update Date : 02/20/2020

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