Provider Demographics
NPI:1013231729
Name:PUGLIESE, PATRICIA JANE (RPH)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JANE
Last Name:PUGLIESE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4326 FREEMANSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-9730
Mailing Address - Country:US
Mailing Address - Phone:610-573-6910
Mailing Address - Fax:
Practice Address - Street 1:4326 FREEMANSBURG AVE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-9730
Practice Address - Country:US
Practice Address - Phone:610-573-6910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4424101835G0303X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy