Individual
JEANNINE FANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6718 BLACK HORSE PIKE, EGG HARBOR TOWNSHIP, NJ 08234-3903
(609) 646-8333
Mailing address
6718 BLACK HORSE PIKE, EGG HARBOR TOWNSHIP, NJ 08234-3903
(609) 646-8333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02820500
NJ
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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