Provider Demographics
NPI:1962532473
Name:IARIA, JOSEPH M (RPH)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:M
Last Name:IARIA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1594 GOLD HILLS DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-9791
Mailing Address - Country:US
Mailing Address - Phone:530-243-3616
Mailing Address - Fax:530-243-0981
Practice Address - Street 1:6424 WESTSIDE RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-4833
Practice Address - Country:US
Practice Address - Phone:530-243-3616
Practice Address - Fax:530-243-0981
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH29842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist