Provider Demographics
NPI:1912490434
Name:GIULIANI, ROBERT (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:GIULIANI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 TWINING ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-6765
Mailing Address - Country:US
Mailing Address - Phone:860-995-3388
Mailing Address - Fax:844-411-6452
Practice Address - Street 1:747 PINE ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-6959
Practice Address - Country:US
Practice Address - Phone:860-583-9213
Practice Address - Fax:844-411-6452
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-09
Last Update Date:2018-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5608183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist