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Individual
MICHAEL J FANELLI
Active
Individual
MICHAEL J FANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PP481518
PA
183500000X
Pharmacist
Primary
RP032108L
PA
183500000X
Pharmacist
RPI000469
PA
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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