Provider Demographics
NPI:1932344827
Name:RISTOFSKI, ANGELA ZUBEK
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:ZUBEK
Last Name:RISTOFSKI
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 1:39379 STONEFIELD PL
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-1779
Mailing Address - Country:US
Mailing Address - Phone:440-934-6381
Mailing Address - Fax:
Practice Address - Street 1:39379 STONEFIELD PLACE
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011
Practice Address - Country:US
Practice Address - Phone:440-934-6381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03318577183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist