Provider Demographics
NPI:1760882443
Name:ORLANDO, ANTHONY JUSTIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JUSTIN
Last Name:ORLANDO
Suffix:
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 1:100 TECHNOLOGY CENTER DR STE 600
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-4749
Mailing Address - Country:US
Mailing Address - Phone:781-566-5066
Mailing Address - Fax:
Practice Address - Street 1:1571 FOREST AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10302-2226
Practice Address - Country:US
Practice Address - Phone:718-448-8744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056888183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist