Provider Demographics
NPI:1861618431
Name:VIGGIANO, MICHAEL P (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:P
Last Name:VIGGIANO
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03064-1610
Mailing Address - Country:US
Mailing Address - Phone:603-889-4285
Mailing Address - Fax:
Practice Address - Street 1:71 LOWELL RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-4801
Practice Address - Country:US
Practice Address - Phone:603-882-5684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2194183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist