Provider Demographics
NPI:1306333299
Name:ALIMOLE PHARMD & ASSOCIATES
Entity type:Organization
Organization Name:ALIMOLE PHARMD & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:TONNA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALIMOLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:203-554-1438
Mailing Address - Street 1:167 GROVE STREET
Mailing Address - Street 2:M
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-1839
Mailing Address - Country:US
Mailing Address - Phone:203-554-1438
Mailing Address - Fax:203-648-9237
Practice Address - Street 1:167 GROVE ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-1837
Practice Address - Country:US
Practice Address - Phone:203-554-1438
Practice Address - Fax:203-648-9237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty