Provider Demographics
NPI:1285019877
Name:CALVILLO, ARIELLE
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:
Last Name:CALVILLO
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 1:18200 ROYALTON RD
Mailing Address - Street 2:TARGET PHARMACY STORE NUMBER (T-00985)
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-5181
Mailing Address - Country:US
Mailing Address - Phone:440-238-9924
Mailing Address - Fax:
Practice Address - Street 1:18200 ROYALTON RD
Practice Address - Street 2:TARGET PHARMACY STORE NUMBER (T-00985)
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-5181
Practice Address - Country:US
Practice Address - Phone:440-238-9924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03334774183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist