Provider Demographics
NPI:1154653368
Name:MITCHELL-POSTELNEK, NANCY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:MITCHELL-POSTELNEK
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 1:1361 HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2036
Mailing Address - Country:US
Mailing Address - Phone:732-671-1313
Mailing Address - Fax:732-796-0726
Practice Address - Street 1:1361 HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2036
Practice Address - Country:US
Practice Address - Phone:732-671-1313
Practice Address - Fax:732-796-0726
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01711800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI01711800OtherNJ PHARMACY LICENSE #