Provider Demographics
NPI:1366766743
Name:ARESCO, GIOVANNI (PHARM D)
Entity type:Individual
Prefix:
First Name:GIOVANNI
Middle Name:
Last Name:ARESCO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 KNOTTER DR
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-1100
Mailing Address - Country:US
Mailing Address - Phone:800-895-8427
Mailing Address - Fax:800-896-8427
Practice Address - Street 1:525 KNOTTER DR
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-1100
Practice Address - Country:US
Practice Address - Phone:800-895-8427
Practice Address - Fax:800-896-8427
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT0009559183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist