Provider Demographics
NPI:1427215664
Name:KENDALL, RALPH WOODROW JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:WOODROW
Last Name:KENDALL
Suffix:JR
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 1:1615 WATERMARK CIR NE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-7068
Mailing Address - Country:US
Mailing Address - Phone:813-769-1897
Mailing Address - Fax:
Practice Address - Street 1:5109 W LEMON ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-1102
Practice Address - Country:US
Practice Address - Phone:813-769-1897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS211681835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist