Provider Demographics
NPI:1952623332
Name:VIOLA, ANN MARIE CHRISTINA (RPH)
Entity Type:Individual
Prefix:MS
First Name:ANN MARIE
Middle Name:CHRISTINA
Last Name:VIOLA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 WILKES-BARRE TWP. BLVD.
Mailing Address - Street 2:KMART #3268
Mailing Address - City:WILKES-BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702-6194
Mailing Address - Country:US
Mailing Address - Phone:570-954-1884
Mailing Address - Fax:847-747-1479
Practice Address - Street 1:910 WILKES-BARRE TWP. BLVD.
Practice Address - Street 2:
Practice Address - City:WILKES-BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-6194
Practice Address - Country:US
Practice Address - Phone:570-954-1884
Practice Address - Fax:847-747-1479
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038532L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist