Provider Demographics
NPI:1346830619
Name:CARCIONE, ROSARIO S (PHARMD)
Entity Type:Individual
Prefix:
First Name:ROSARIO
Middle Name:S
Last Name:CARCIONE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4016 MASSILLON RD STE B
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-7818
Mailing Address - Country:US
Mailing Address - Phone:330-899-0406
Mailing Address - Fax:330-899-0652
Practice Address - Street 1:4016 MASSILLON RD STE B
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-7818
Practice Address - Country:US
Practice Address - Phone:330-899-0406
Practice Address - Fax:330-899-0652
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-21
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH032365603336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy