Provider Demographics
NPI:1710452818
Name:PARDINI, ROBERT ALAN JR
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ALAN
Last Name:PARDINI
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 S VAN NESS AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-1947
Mailing Address - Country:US
Mailing Address - Phone:412-400-8710
Mailing Address - Fax:
Practice Address - Street 1:789 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-3132
Practice Address - Country:US
Practice Address - Phone:412-343-6273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH79509183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist