Provider Demographics
NPI:1326412602
Name:GANOE, VIOLETTE GEZA (PHARMD)
Entity Type:Individual
Prefix:
First Name:VIOLETTE
Middle Name:GEZA
Last Name:GANOE
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 1:793 FOGELMAN RD
Mailing Address - Street 2:
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756-6806
Mailing Address - Country:US
Mailing Address - Phone:570-547-3211
Mailing Address - Fax:
Practice Address - Street 1:ROUTE 15, 2 MILES N. OF ALLENWOOD
Practice Address - Street 2:
Practice Address - City:ALLENWOOD
Practice Address - State:PA
Practice Address - Zip Code:17887
Practice Address - Country:US
Practice Address - Phone:570-547-3211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-24
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438418183500000X
NJ28RJ02848600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist