Provider Demographics
NPI:1710286620
Name:MASON, ANDREA TRANCHITELLA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:TRANCHITELLA
Last Name:MASON
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 1:9999 NE 2ND AVE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-2352
Mailing Address - Country:US
Mailing Address - Phone:813-727-1679
Mailing Address - Fax:305-751-7748
Practice Address - Street 1:9999 NE 2ND AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2352
Practice Address - Country:US
Practice Address - Phone:813-727-1679
Practice Address - Fax:305-751-7748
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS27901183500000X
NMRP00007023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist