Provider Demographics
NPI:1235457771
Name:SARTORIO, JANINE MARIE (RPH)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:MARIE
Last Name:SARTORIO
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 1:489 SHOEMAKER RD STE 106
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-4235
Mailing Address - Country:US
Mailing Address - Phone:610-337-6820
Mailing Address - Fax:800-275-3149
Practice Address - Street 1:489 SHOEMAKER RD STE 106
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-4235
Practice Address - Country:US
Practice Address - Phone:610-337-6820
Practice Address - Fax:800-275-3149
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044955L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP044955LOtherPHARMACIST LICENSE