Healthcare Provider Details

I. General information

NPI: 1114219276
Provider Name (Legal Business Name): ALLISON SUE PINIZOTTO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2011
Last Update Date: 06/27/2023
Certification Date: 06/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 ROCKSIDE RD
INDEPENDENCE OH
44131-2324
US

IV. Provider business mailing address

6900 ROCKSIDE RD
INDEPENDENCE OH
44131-2324
US

V. Phone/Fax

Practice location:
  • Phone: 440-871-7177
  • Fax: 440-250-9183
Mailing address:
  • Phone: 814-602-1478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03129709
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: