Provider Demographics
NPI:1235786989
Name:REDONDO, ADRIEL SALGADO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADRIEL
Middle Name:SALGADO
Last Name:REDONDO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 N DELAWARE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-4334
Mailing Address - Country:US
Mailing Address - Phone:215-850-5701
Mailing Address - Fax:
Practice Address - Street 1:1020 N DELAWARE AVE STE 200
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-4334
Practice Address - Country:US
Practice Address - Phone:215-850-5701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP453765183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist