Provider Demographics
NPI:1295127595
Name:VIGLIOTTI, ASHLEY
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:VIGLIOTTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:897 HARTFORD AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-5035
Mailing Address - Country:US
Mailing Address - Phone:401-489-3399
Mailing Address - Fax:
Practice Address - Street 1:1074 MINERAL SPRING AVE
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-4104
Practice Address - Country:US
Practice Address - Phone:401-331-2636
Practice Address - Fax:401-727-2740
Is Sole Proprietor?:No
Enumeration Date:2015-02-23
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH05315183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist