Individual
MS. ANNETTE IANNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RAH
Contact information
Practice address
89 JIMS TRL, BAYPORT, NY 11705-1556
(914) 441-1009
Mailing address
89 JIMS TRL, BAYPORT, NY 11705-1556
(914) 441-1009
(914) 245-8972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0008831
CT
183500000X
Pharmacist
043432-1
NY
183500000X
Pharmacist
Primary
14044
NC
183500000X
Pharmacist
PH242942
MA
183500000X
Pharmacist
PS 30424
FL
Other
Enumeration date
05/27/2016
Last updated
03/08/2024
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