Provider Demographics
NPI:1477265791
Name:CIPRIANI, GIA GRACE (RPH)
Entity Type:Individual
Prefix:
First Name:GIA
Middle Name:GRACE
Last Name:CIPRIANI
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 1:7600 W COLLEGE DR.
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463
Mailing Address - Country:US
Mailing Address - Phone:708-448-4141
Mailing Address - Fax:708-448-4343
Practice Address - Street 1:7600 W COLLEGE DR.
Practice Address - Street 2:SUITE 1
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463
Practice Address - Country:US
Practice Address - Phone:708-448-4141
Practice Address - Fax:708-448-4343
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.040618183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty