Provider Demographics
NPI:1508004912
Name:TODARO, MICHAEL CARL SR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CARL
Last Name:TODARO
Suffix:SR
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 1:38 S BLUE ANGEL PKWY
Mailing Address - Street 2:PMB # 248
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32506-6045
Mailing Address - Country:US
Mailing Address - Phone:850-492-4113
Mailing Address - Fax:850-457-2949
Practice Address - Street 1:38 S BLUE ANGEL PKWY
Practice Address - Street 2:PMB # 248
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32506-6045
Practice Address - Country:US
Practice Address - Phone:850-492-4113
Practice Address - Fax:850-457-2949
Is Sole Proprietor?:No
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13121183500000X
MSE5783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist