Provider Demographics
NPI:1821401118
Name:SCIALDONE, LIANA (PHARMD)
Entity Type:Individual
Prefix:
First Name:LIANA
Middle Name:
Last Name:SCIALDONE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6423 IRON BRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-5265
Mailing Address - Country:US
Mailing Address - Phone:804-271-9172
Mailing Address - Fax:804-271-8451
Practice Address - Street 1:6423 IRON BRIDGE PL
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-5265
Practice Address - Country:US
Practice Address - Phone:804-271-9172
Practice Address - Fax:804-271-8451
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202211634183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist