Provider Demographics
NPI:1316988744
Name:CIANCAGLINI, PETER PAUL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:PAUL
Last Name:CIANCAGLINI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 RIDGELAND ROAD
Mailing Address - Street 2:CLINICAL MATERIALS SERVICES UNIT (CMSU)
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623
Mailing Address - Country:US
Mailing Address - Phone:585-350-3844
Mailing Address - Fax:585-272-8307
Practice Address - Street 1:77 RIDGELAND ROAD
Practice Address - Street 2:UNIVERSITY OF ROCHESTER MEDICAL CENTER (CMSU)
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623
Practice Address - Country:US
Practice Address - Phone:585-350-3844
Practice Address - Fax:585-272-8307
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043837183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist