Provider Demographics
NPI:1396909677
Name:COLABIANCHI, SANTINO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SANTINO
Middle Name:
Last Name:COLABIANCHI
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 1:4350 BAYOU BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-1948
Mailing Address - Country:US
Mailing Address - Phone:850-484-4338
Mailing Address - Fax:850-484-0497
Practice Address - Street 1:4350 BAYOU BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-1948
Practice Address - Country:US
Practice Address - Phone:850-484-4338
Practice Address - Fax:850-484-0497
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35171183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist