Provider Demographics
NPI:1780834523
Name:AGOSTINI, DARLENE BETH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:BETH
Last Name:AGOSTINI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 DOVE DR
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-5324
Mailing Address - Country:US
Mailing Address - Phone:724-439-2580
Mailing Address - Fax:
Practice Address - Street 1:417 DOVE DR
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-5324
Practice Address - Country:US
Practice Address - Phone:724-439-2580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036701L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist