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Individual

ALENA THANNIKAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD, RPH

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(914) 609-4876
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP456315
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RP456315
PHARMACIST LICENSE
Enumeration date
08/29/2022
Last updated
08/29/2022
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