Provider Demographics
NPI:1679898688
Name:PIROFSKY, GISELE LOURDES (RPH)
Entity Type:Individual
Prefix:
First Name:GISELE
Middle Name:LOURDES
Last Name:PIROFSKY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:GISELE
Other - Middle Name:LOURDES
Other - Last Name:PAUSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:545 COTTON GIN RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-3552
Mailing Address - Country:US
Mailing Address - Phone:334-396-9466
Mailing Address - Fax:
Practice Address - Street 1:545 COTTON GIN RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3552
Practice Address - Country:US
Practice Address - Phone:334-396-9466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11391183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist