Provider Demographics
NPI:1164828042
Name:DONKERS, ARIELLE (RPH)
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:
Last Name:DONKERS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ARIELLE
Other - Middle Name:
Other - Last Name:AMBROSY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:449 HOWE AVE
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-4943
Mailing Address - Country:US
Mailing Address - Phone:330-928-0014
Mailing Address - Fax:
Practice Address - Street 1:449 HOWE AVE
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-4943
Practice Address - Country:US
Practice Address - Phone:330-928-0014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH.03233535183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist