Provider Demographics
NPI:1114334315
Name:NOSS, JANINE MARIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JANINE
Middle Name:MARIA
Last Name:NOSS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 W LANCASTER AVE
Mailing Address - Street 2:PHARMACY
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-1401
Mailing Address - Country:US
Mailing Address - Phone:610-649-7150
Mailing Address - Fax:610-649-3391
Practice Address - Street 1:169 W LANCASTER AVE
Practice Address - Street 2:PHARMACY
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-1401
Practice Address - Country:US
Practice Address - Phone:610-649-7150
Practice Address - Fax:610-649-3391
Is Sole Proprietor?:No
Enumeration Date:2014-07-20
Last Update Date:2014-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP448858183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist