Provider Demographics
NPI:1144683079
Name:DIPALMA, GIOVANNA
Entity type:Individual
Prefix:MISS
First Name:GIOVANNA
Middle Name:
Last Name:DIPALMA
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 1:1901 JOHNSTON ST
Mailing Address - Street 2:ACME PHARMACY 7715
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-4720
Mailing Address - Country:US
Mailing Address - Phone:215-336-2307
Mailing Address - Fax:215-336-2311
Practice Address - Street 1:1901 JOHNSTON ST
Practice Address - Street 2:ACME PHARMACY 7715
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19145-4720
Practice Address - Country:US
Practice Address - Phone:215-336-2307
Practice Address - Fax:215-336-2311
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP1003752183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist