Provider Demographics
NPI:1326553611
Name:DEL TOSTO, AMIRA (RPH)
Entity Type:Individual
Prefix:
First Name:AMIRA
Middle Name:
Last Name:DEL TOSTO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4125 WOODBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-4678
Mailing Address - Country:US
Mailing Address - Phone:614-648-7427
Mailing Address - Fax:
Practice Address - Street 1:2090 CROWN PLAZA DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-7310
Practice Address - Country:US
Practice Address - Phone:614-326-5650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-08
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03320158183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist