Provider Demographics
NPI:1235651993
Name:CIARLO, ROY JOSEPH (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:JOSEPH
Last Name:CIARLO
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 S MAIN ST STE D2
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-6706
Mailing Address - Country:US
Mailing Address - Phone:855-505-6779
Mailing Address - Fax:203-403-9500
Practice Address - Street 1:266 S MAIN ST STE D2
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-6706
Practice Address - Country:US
Practice Address - Phone:855-505-6779
Practice Address - Fax:855-505-6779
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7430183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist