Provider Demographics
NPI:1235666942
Name:FOLINO, ERIC DAVID (RPH)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:DAVID
Last Name:FOLINO
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 1:811 DEEP LAKE DR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-3427
Mailing Address - Country:US
Mailing Address - Phone:412-585-0042
Mailing Address - Fax:
Practice Address - Street 1:111 EXECUTIVE BLVD
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-4719
Practice Address - Country:US
Practice Address - Phone:631-843-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP040955L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist