Healthcare Provider Details

I. General information

NPI: 1225355704
Provider Name (Legal Business Name): DANIELLE MARIE MARCHETTI RPH,CIP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2010
Last Update Date: 04/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 SAXER AVE
SPRINGFIELD PA
19064-2335
US

IV. Provider business mailing address

175 LYDIA LN
WEST CHESTER PA
19382-6140
US

V. Phone/Fax

Practice location:
  • Phone: 610-543-1153
  • Fax: 610-543-1812
Mailing address:
  • Phone: 610-399-3420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP039396L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: