Provider Demographics
NPI:1033593157
Name:QUAGLIARA, ISABEL (PHARM D)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:QUAGLIARA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1162 HARRISBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43223-2847
Mailing Address - Country:US
Mailing Address - Phone:614-351-0266
Mailing Address - Fax:
Practice Address - Street 1:1162 HARRISBURG PIKE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-2847
Practice Address - Country:US
Practice Address - Phone:614-351-0266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-18
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03441928183500000X
SC36217183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist