Provider Demographics
NPI:1962016782
Name:CHIOTTI, RUTHANNE (PHARMD)
Entity type:Individual
Prefix:
First Name:RUTHANNE
Middle Name:
Last Name:CHIOTTI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:RUTHANNE
Other - Middle Name:
Other - Last Name:CHIOTTI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3170 S RAGEN DR
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-5117
Mailing Address - Country:US
Mailing Address - Phone:607-592-7799
Mailing Address - Fax:
Practice Address - Street 1:1450 S YUMA PALMS PKWY
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-1707
Practice Address - Country:US
Practice Address - Phone:928-343-7466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS022033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist