Individual
DR. ANDREA ELLEN FORMELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
28652 MALABAR RD, TRABUCO CANYON, CA 92679-1622
(512) 796-7547
Mailing address
28652 MALABAR RD, TRABUCO CANYON, CA 92679-1622
(512) 796-7547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11223-40
WI
1835P1300X
Psychiatric Pharmacist
Primary
11223-40
WI
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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