Provider Demographics
NPI:1679867048
Name:PALMIERI, ANTHONY ROBERT (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:ROBERT
Last Name:PALMIERI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10555 N ORACLE RD.
Mailing Address - Street 2:CVS IN TARGET #16217
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-9353
Mailing Address - Country:US
Mailing Address - Phone:520-219-4151
Mailing Address - Fax:520-917-8541
Practice Address - Street 1:10555 N ORACLE RD.
Practice Address - Street 2:CVS IN TARGET #16217
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85737
Practice Address - Country:US
Practice Address - Phone:520-219-4151
Practice Address - Fax:520-917-8541
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS017316183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist