Provider Demographics
NPI:1033540950
Name:PIOTROWSKI, PAMELA ANN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:ANN
Last Name:PIOTROWSKI
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 1:246 E FRANCES LN
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-1975
Mailing Address - Country:US
Mailing Address - Phone:479-616-8538
Mailing Address - Fax:602-732-5457
Practice Address - Street 1:4127 E VAN BUREN ST STE 250
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-6923
Practice Address - Country:US
Practice Address - Phone:602-732-3268
Practice Address - Fax:602-732-5457
Is Sole Proprietor?:No
Enumeration Date:2013-12-02
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS017459183500000X
MD12819183500000X
TX44677183500000X
DEA1-0002525183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist