Provider Demographics
NPI:1356474746
Name:GUATELLI, RALPH L (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:L
Last Name:GUATELLI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 ROYAL PALM WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-9427
Mailing Address - Country:US
Mailing Address - Phone:352-683-8181
Mailing Address - Fax:
Practice Address - Street 1:307 ROYAL PALM WAY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-9427
Practice Address - Country:US
Practice Address - Phone:352-628-2188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24553183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist