Provider Demographics
NPI:1699439521
Name:GALLIPOLI, DANIELLE (RPH)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:GALLIPOLI
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 1:5231 DETROIT RD
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44054-2902
Mailing Address - Country:US
Mailing Address - Phone:440-934-5377
Mailing Address - Fax:
Practice Address - Street 1:5231 DETROIT RD
Practice Address - Street 2:
Practice Address - City:SHEFFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44054-2902
Practice Address - Country:US
Practice Address - Phone:440-934-5377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-18366183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist