Provider Demographics
NPI:1417231531
Name:AURICCHIO, CORINNA (RPH)
Entity Type:Individual
Prefix:
First Name:CORINNA
Middle Name:
Last Name:AURICCHIO
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 1:7746 PLEASANT MANOR DR
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-3683
Mailing Address - Country:US
Mailing Address - Phone:248-977-0001
Mailing Address - Fax:
Practice Address - Street 1:45460 MARKET ST
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-6224
Practice Address - Country:US
Practice Address - Phone:586-580-2002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302030362183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist