Provider Demographics
NPI:1497872378
Name:GIANDONATO, MARY ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ANN
Last Name:GIANDONATO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18305 PARRISH GROVE RD
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33523-6586
Mailing Address - Country:US
Mailing Address - Phone:352-521-9729
Mailing Address - Fax:352-521-9729
Practice Address - Street 1:2200 TALL PINES DR
Practice Address - Street 2:SUITE 118
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-5341
Practice Address - Country:US
Practice Address - Phone:727-524-9333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35019183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist