Provider Demographics
NPI:1093841215
Name:CIARLEGLIO, ANITA (PHD RPH)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:
Last Name:CIARLEGLIO
Suffix:
Gender:F
Credentials:PHD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 KAMAKOI LOOP
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-7100
Mailing Address - Country:US
Mailing Address - Phone:808-276-9231
Mailing Address - Fax:
Practice Address - Street 1:1178 KINOOLE ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-7206
Practice Address - Country:US
Practice Address - Phone:808-276-9231
Practice Address - Fax:808-961-4795
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH1754183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist