Provider Demographics
NPI:1437629615
Name:PIRO, MICHAEL (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:PIRO
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 WYNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WILLOW STREET
Mailing Address - State:PA
Mailing Address - Zip Code:17584-9478
Mailing Address - Country:US
Mailing Address - Phone:717-464-1902
Mailing Address - Fax:
Practice Address - Street 1:1700 FRUITVILLE PIKE STE A
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4098
Practice Address - Country:US
Practice Address - Phone:717-397-8161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044129R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist