Provider Demographics
NPI:1760480073
Name:SANTER, ANDREW TODD (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:TODD
Last Name:SANTER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1718 CERVATO CT
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-9063
Mailing Address - Country:US
Mailing Address - Phone:805-445-1262
Mailing Address - Fax:
Practice Address - Street 1:1718 CERVATO CT
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-9063
Practice Address - Country:US
Practice Address - Phone:805-445-1262
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42392183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist