Provider Demographics
NPI:1144406125
Name:BENDETTO, RENEE R (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:R
Last Name:BENDETTO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:RENEE
Other - Middle Name:R
Other - Last Name:VENARUCCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:225 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18640-1058
Mailing Address - Country:US
Mailing Address - Phone:570-655-1911
Mailing Address - Fax:570-655-1472
Practice Address - Street 1:225 OVERLOOK DR
Practice Address - Street 2:
Practice Address - City:PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18640-1058
Practice Address - Country:US
Practice Address - Phone:570-655-1911
Practice Address - Fax:570-655-1472
Is Sole Proprietor?:No
Enumeration Date:2008-01-21
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032567L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist