Healthcare Provider Details

I. General information

NPI: 1275845356
Provider Name (Legal Business Name): JOSEPH MARINELLI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2010
Last Update Date: 07/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CREEK PKWY SUITE A
UPPER CHICHESTER PA
19061-3132
US

IV. Provider business mailing address

4 CREEK PKWY SUITE A
UPPER CHICHESTER PA
19061-3132
US

V. Phone/Fax

Practice location:
  • Phone: 484-480-2227
  • Fax:
Mailing address:
  • Phone: 484-480-2227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP030717L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: