Basic Information
| Provider Information | |||||||||
| NPI: | 1093841215 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CIARLEGLIO | ||||||||
| FirstName: | ANITA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D. RPH. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 196 KAMAKOI LOOP | ||||||||
| Address2: | |||||||||
| City: | KIHEI | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967537100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8082769231 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1178 KINOOLE ST | ||||||||
| Address2: | |||||||||
| City: | HILO | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967207206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8082769231 | ||||||||
| FaxNumber: | 8089614795 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2007 | ||||||||
| LastUpdateDate: | 01/22/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | PH1754 | HI | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.