Provider Demographics
NPI:1437856523
Name:CIAVARELLA, PAUL DANIEL (RPH)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:DANIEL
Last Name:CIAVARELLA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 N JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-3903
Mailing Address - Country:US
Mailing Address - Phone:724-652-0981
Mailing Address - Fax:724-658-7599
Practice Address - Street 1:31 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-3903
Practice Address - Country:US
Practice Address - Phone:724-652-0981
Practice Address - Fax:724-658-7599
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP043850R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist