Provider Demographics
NPI:1841663200
Name:VIOLA, JACQUELINE ANNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:ANNE
Last Name:VIOLA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 DAILY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-2287
Mailing Address - Country:US
Mailing Address - Phone:724-858-9069
Mailing Address - Fax:
Practice Address - Street 1:1236 LONG RUN RD
Practice Address - Street 2:
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131-2035
Practice Address - Country:US
Practice Address - Phone:412-678-2755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-07
Last Update Date:2015-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449998183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist