Individual
ANDREA FORNELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 W 26TH ST, ERIE, PA 16508-1803
(814) 452-4012
Mailing address
6924 SHEFFIELD DR, FAIRVIEW, PA 16415-1978
(814) 474-4745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP039155L
PA
Other
Enumeration date
05/17/2009
Last updated
05/17/2009
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