Provider Demographics
NPI:1134720394
Name:PULICE, MARIA CARMELA (RPH)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:CARMELA
Last Name:PULICE
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 1:136 JOSEPH BLVD
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-3018
Mailing Address - Country:US
Mailing Address - Phone:304-670-5614
Mailing Address - Fax:740-266-7208
Practice Address - Street 1:100 MALL DR
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-3092
Practice Address - Country:US
Practice Address - Phone:740-266-7299
Practice Address - Fax:740-266-7208
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH03323897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist