Provider Demographics
NPI:1245436138
Name:VENTIMIGLIA, DONALD SALVATORE (RPH)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:SALVATORE
Last Name:VENTIMIGLIA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52391 CHARING WAY
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-2538
Mailing Address - Country:US
Mailing Address - Phone:586-247-7791
Mailing Address - Fax:586-247-7791
Practice Address - Street 1:52391 CHARING WAY
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-2538
Practice Address - Country:US
Practice Address - Phone:586-247-7791
Practice Address - Fax:586-247-7791
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020244901835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy