Provider Demographics
NPI:1114219276
Name:PINIZOTTO, ALLISON SUE
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:SUE
Last Name:PINIZOTTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 ROCKSIDE RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-2324
Mailing Address - Country:US
Mailing Address - Phone:814-602-1478
Mailing Address - Fax:
Practice Address - Street 1:6900 ROCKSIDE RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-2324
Practice Address - Country:US
Practice Address - Phone:440-871-7177
Practice Address - Fax:440-250-9183
Is Sole Proprietor?:No
Enumeration Date:2011-05-09
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03129709183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist