Provider Demographics
NPI:1003469347
Name:LUOTO, PIPER (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:PIPER
Middle Name:
Last Name:LUOTO
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 PARK AVE N
Mailing Address - Street 2:
Mailing Address - City:PARK RIVER
Mailing Address - State:ND
Mailing Address - Zip Code:58270-4527
Mailing Address - Country:US
Mailing Address - Phone:218-684-1050
Mailing Address - Fax:
Practice Address - Street 1:503 PARK ST W
Practice Address - Street 2:
Practice Address - City:PARK RIVER
Practice Address - State:ND
Practice Address - Zip Code:58270-4137
Practice Address - Country:US
Practice Address - Phone:701-284-7676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRPH6147183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist