Provider Demographics
NPI:1245415025
Name:CAMARDELLO, JAMIE PATRICK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:PATRICK
Last Name:CAMARDELLO
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 1:18 NELSON AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-5220
Mailing Address - Country:US
Mailing Address - Phone:617-721-9669
Mailing Address - Fax:
Practice Address - Street 1:10 BROAD ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4327
Practice Address - Country:US
Practice Address - Phone:518-792-1131
Practice Address - Fax:518-792-7178
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-30
Last Update Date:2007-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050303183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist