Provider Demographics
NPI:1942476890
Name:PACITTI, DIANE FRANCES (PHD, RPH)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:FRANCES
Last Name:PACITTI
Suffix:
Gender:F
Credentials:PHD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 PILGRIM RD
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-2005
Mailing Address - Country:US
Mailing Address - Phone:413-785-1701
Mailing Address - Fax:
Practice Address - Street 1:19 PILGRIM RD
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-2005
Practice Address - Country:US
Practice Address - Phone:413-785-1701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA204711835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy