Provider Demographics
NPI:1518264936
Name:LAMPARELLI, BRUCE (RPH)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:
Last Name:LAMPARELLI
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 1:20 HATTON PL
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-4202
Mailing Address - Country:US
Mailing Address - Phone:843-342-7451
Mailing Address - Fax:
Practice Address - Street 1:20 HATTON PL
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-4202
Practice Address - Country:US
Practice Address - Phone:843-342-7451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-21
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC010223183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist