Provider Demographics
NPI:1083841159
Name:RINALDI, MICHELE JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:
Last Name:RINALDI
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 HITCHCOCK RD UNIT 133
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06705-3955
Mailing Address - Country:US
Mailing Address - Phone:203-527-4124
Mailing Address - Fax:
Practice Address - Street 1:380 HITCHCOCK RD UNIT 133
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06705-3955
Practice Address - Country:US
Practice Address - Phone:203-527-4124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.00104371835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist