Provider Demographics
NPI:1821278581
Name:ARCIOLLA, VIRGINIA L (RPH)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:L
Last Name:ARCIOLLA
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 1:58 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:GREENE
Mailing Address - State:NY
Mailing Address - Zip Code:13778-1228
Mailing Address - Country:US
Mailing Address - Phone:607-656-4585
Mailing Address - Fax:607-656-7611
Practice Address - Street 1:58 GENESEE ST
Practice Address - Street 2:
Practice Address - City:GREENE
Practice Address - State:NY
Practice Address - Zip Code:13778-1228
Practice Address - Country:US
Practice Address - Phone:607-656-4585
Practice Address - Fax:607-656-7611
Is Sole Proprietor?:No
Enumeration Date:2007-11-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044713183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00483610Medicaid
NY3329643OtherNABP
NY1174623524OtherNPI