Provider Demographics
NPI:1043405384
Name:CARAMANICO, JOHN DOMINIC (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:DOMINIC
Last Name:CARAMANICO
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 1:126 SAINT JOHNS DR
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-1415
Mailing Address - Country:US
Mailing Address - Phone:610-358-9032
Mailing Address - Fax:
Practice Address - Street 1:126 SAINT JOHNS DR
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1415
Practice Address - Country:US
Practice Address - Phone:610-358-9032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031111L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist