Provider Demographics
NPI:1508099102
Name:MILANO, JENNA LYNN (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:JENNA
Middle Name:LYNN
Last Name:MILANO
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 1:676 MAGNOLIA CT
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-4319
Mailing Address - Country:US
Mailing Address - Phone:267-386-5583
Mailing Address - Fax:
Practice Address - Street 1:800 ROCK HILL DR
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-1628
Practice Address - Country:US
Practice Address - Phone:215-364-9511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-29
Last Update Date:2009-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443660183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist