Provider Demographics
NPI:1013037258
Name:CIOTTI-MENOLD, IDOLA MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:IDOLA
Middle Name:MARIE
Last Name:CIOTTI-MENOLD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 MANORVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-8503
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:737 GREENVILLE RD
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-5023
Practice Address - Country:US
Practice Address - Phone:724-662-1414
Practice Address - Fax:724-269-7228
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440346183500000X
OH03228376183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist