Provider Demographics
NPI:1497239925
Name:VIOLA, JOCELINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOCELINE
Middle Name:
Last Name:VIOLA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 DAILY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-2287
Mailing Address - Country:US
Mailing Address - Phone:724-433-7171
Mailing Address - Fax:
Practice Address - Street 1:3700 WALNUT ST
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-7338
Practice Address - Country:US
Practice Address - Phone:412-751-0132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP452724183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP452724OtherPHARMACIST LICENSE
PARPI012471OtherPHARMACIST IMMUNIZATION LICENSE