Provider Demographics
NPI:1538473160
Name:BRESSI, JOLENE ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOLENE
Middle Name:ELIZABETH
Last Name:BRESSI
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 1:1440 W MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:COAL TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:17866-2521
Mailing Address - Country:US
Mailing Address - Phone:609-313-2703
Mailing Address - Fax:
Practice Address - Street 1:1440 W MULBERRY ST
Practice Address - Street 2:
Practice Address - City:COAL TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:17866-2521
Practice Address - Country:US
Practice Address - Phone:609-313-2703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-06
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054749183500000X
MD19695183500000X
WVRP0007414183500000X
NJ28RI02891600183500000X
KY014904183500000X
PARP438649183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist