Provider Demographics
NPI:1982797858
Name:FOLIO, PHILLIP SCOTT (RPH)
Entity Type:Individual
Prefix:MR
First Name:PHILLIP
Middle Name:SCOTT
Last Name:FOLIO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 ATTERBURY BLVD
Mailing Address - Street 2:APT. 207
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-2819
Mailing Address - Country:US
Mailing Address - Phone:330-724-7715
Mailing Address - Fax:
Practice Address - Street 1:77 ATTERBURY BLVD
Practice Address - Street 2:APT. 207
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-2819
Practice Address - Country:US
Practice Address - Phone:330-724-7715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-22096183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist