Provider Demographics
NPI:1114060365
Name:CIARAMITA, PETE (RPH)
Entity Type:Individual
Prefix:
First Name:PETE
Middle Name:
Last Name:CIARAMITA
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 1:6311 BALD EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53406-6382
Mailing Address - Country:US
Mailing Address - Phone:262-886-6693
Mailing Address - Fax:
Practice Address - Street 1:516 MONUMENT SQ
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53403-1033
Practice Address - Country:US
Practice Address - Phone:262-632-0520
Practice Address - Fax:262-632-6777
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8119-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist