Provider Demographics
NPI:1275100646
Name:VIOLA, CANDACE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CANDACE
Middle Name:
Last Name:VIOLA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 S EVERGREEN LN
Mailing Address - Street 2:
Mailing Address - City:ARUNDEL
Mailing Address - State:ME
Mailing Address - Zip Code:04046-7508
Mailing Address - Country:US
Mailing Address - Phone:207-467-3551
Mailing Address - Fax:
Practice Address - Street 1:13 S EVERGREEN LN
Practice Address - Street 2:
Practice Address - City:ARUNDEL
Practice Address - State:ME
Practice Address - Zip Code:04046-7508
Practice Address - Country:US
Practice Address - Phone:207-467-3551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-05
Last Update Date:2021-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR46804183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist