Provider Demographics
NPI:1730159278
Name:MARIONI, MARIA L (RPH)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:L
Last Name:MARIONI
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 1:110 PRESCOTT ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01510-2609
Mailing Address - Country:US
Mailing Address - Phone:978-368-8387
Mailing Address - Fax:
Practice Address - Street 1:PSC 827 BOX 96
Practice Address - Street 2:FPO AE
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:09617
Practice Address - Country:US
Practice Address - Phone:081-811-6231
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19635183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist