Provider Demographics
NPI:1952625618
Name:MORELLI, RITA MARY (RPH)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:MARY
Last Name:MORELLI
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:PO BOX 416
Mailing Address - Street 2:
Mailing Address - City:PUTNAM VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10579-0416
Mailing Address - Country:US
Mailing Address - Phone:845-528-6400
Mailing Address - Fax:845-528-0400
Practice Address - Street 1:11 PEEKSKILL HOLLOW RD
Practice Address - Street 2:
Practice Address - City:PUTNAM VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10579-3200
Practice Address - Country:US
Practice Address - Phone:845-528-6400
Practice Address - Fax:845-528-0400
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0263211183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist