Provider Demographics
NPI:1598166217
Name:ALILA-CIAMPOLILLO, FLORENCE (PHARMD RPH)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:
Last Name:ALILA-CIAMPOLILLO
Suffix:
Gender:F
Credentials:PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 E WOODLAND ST
Mailing Address - Street 2:APT 29
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451-2000
Mailing Address - Country:US
Mailing Address - Phone:518-810-1129
Mailing Address - Fax:
Practice Address - Street 1:245 E WOODLAND ST
Practice Address - Street 2:APT 29
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-2000
Practice Address - Country:US
Practice Address - Phone:518-810-1129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0013065183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist