Provider Demographics
NPI:1083886121
Name:DIFILIPPO, ANTONIO O (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANTONIO
Middle Name:O
Last Name:DIFILIPPO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:APOLLO
Mailing Address - State:PA
Mailing Address - Zip Code:15613-1339
Mailing Address - Country:US
Mailing Address - Phone:724-478-4051
Mailing Address - Fax:
Practice Address - Street 1:200 N WARREN AVE
Practice Address - Street 2:
Practice Address - City:APOLLO
Practice Address - State:PA
Practice Address - Zip Code:15613-1339
Practice Address - Country:US
Practice Address - Phone:724-478-4051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP028425L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist