Provider Demographics
NPI:1225355704
Name:MARCHETTI, DANIELLE MARIE (RPH,CIP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MARIE
Last Name:MARCHETTI
Suffix:
Gender:F
Credentials:RPH,CIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 LYDIA LN
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-6140
Mailing Address - Country:US
Mailing Address - Phone:610-399-3420
Mailing Address - Fax:
Practice Address - Street 1:170 SAXER AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-2335
Practice Address - Country:US
Practice Address - Phone:610-543-1153
Practice Address - Fax:610-543-1812
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2010-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039396L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist