Provider Demographics
NPI:1508420415
Name:GENNARELLI, CHRISTIAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:GENNARELLI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 NESHAMINY INTERPLEX DR
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6933
Mailing Address - Country:US
Mailing Address - Phone:215-547-1700
Mailing Address - Fax:215-547-4097
Practice Address - Street 1:8 NESHAMINY INTERPLEX DR STE 102
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6979
Practice Address - Country:US
Practice Address - Phone:215-547-1700
Practice Address - Fax:215-547-1722
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438209183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist