Provider Demographics
NPI:1003138934
Name:ALTMAN, JANINE PAULINE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:PAULINE
Last Name:ALTMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 YORK RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2048
Mailing Address - Country:US
Mailing Address - Phone:215-674-3503
Mailing Address - Fax:215-674-2952
Practice Address - Street 1:1133 YORK RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2048
Practice Address - Country:US
Practice Address - Phone:215-674-3503
Practice Address - Fax:215-674-2952
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038458L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist