Provider Demographics
NPI:1932492105
Name:GIORDANO, JUDITH ANN (RPH)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:ANN
Last Name:GIORDANO
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 1:1725 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-3117
Mailing Address - Country:US
Mailing Address - Phone:540-387-2901
Mailing Address - Fax:540-387-3123
Practice Address - Street 1:1725 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-3117
Practice Address - Country:US
Practice Address - Phone:540-387-2901
Practice Address - Fax:540-387-3123
Is Sole Proprietor?:No
Enumeration Date:2011-05-22
Last Update Date:2011-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0004272183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist