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Individual

MRS. JEANINE MARIE MCGILLIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1006 BRANCH MILL RD, TELFORD, PA 18969-2342
(215) 703-0741
Mailing address
651 MAIN ST, HARLEYSVILLE, PA 19438-1772
(215) 513-0676
(215) 713-0676

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP040745L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2152854270
ANY HEALTH INSURANCE
PA
Enumeration date
11/09/2020
Last updated
11/09/2020
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