Provider Demographics
NPI:1023662038
Name:ZILNER, JOAN RAIMONDO (RPH)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:RAIMONDO
Last Name:ZILNER
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 1:645 KOLTER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3522
Mailing Address - Country:US
Mailing Address - Phone:724-349-1111
Mailing Address - Fax:724-599-3666
Practice Address - Street 1:645 KOLTER DR
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3522
Practice Address - Country:US
Practice Address - Phone:724-349-1111
Practice Address - Fax:724-599-3666
Is Sole Proprietor?:No
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP024042L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist