Provider Demographics
NPI:1902942683
Name:CARDINALE, VINCENT JOHN (RPH)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:JOHN
Last Name:CARDINALE
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 1:499 ALVARADO ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2739
Mailing Address - Country:US
Mailing Address - Phone:831-372-8085
Mailing Address - Fax:831-372-6426
Practice Address - Street 1:499 ALVARADO ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2739
Practice Address - Country:US
Practice Address - Phone:831-372-8085
Practice Address - Fax:831-372-6426
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27383183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist