Provider Demographics
NPI:1346481652
Name:MUFFOLETTO, RITA MARIA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:MARIA
Last Name:MUFFOLETTO
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 1:5411 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-3452
Mailing Address - Country:US
Mailing Address - Phone:718-386-6692
Mailing Address - Fax:
Practice Address - Street 1:5411 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-3452
Practice Address - Country:US
Practice Address - Phone:718-386-6692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048718183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist