Provider Demographics
NPI:1124101530
Name:CIOLINO, JANE ELLEN (RPH)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:ELLEN
Last Name:CIOLINO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:ELLEN
Other - Last Name:CIOLINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:1401 VETERANS BLOUVARD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005
Mailing Address - Country:US
Mailing Address - Phone:504-834-1570
Mailing Address - Fax:
Practice Address - Street 1:1401 VETERANS HIGHWAY
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-1401
Practice Address - Country:US
Practice Address - Phone:504-834-1570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14469183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist