Provider Demographics
NPI:1669654828
Name:TRUANCE, JACQUELYN R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JACQUELYN
Middle Name:R
Last Name:TRUANCE
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 1:28 S. 2ND STREET
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17074-1401
Mailing Address - Country:US
Mailing Address - Phone:717-567-2147
Mailing Address - Fax:717-567-2356
Practice Address - Street 1:28 S 2ND ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:PA
Practice Address - Zip Code:17074-1401
Practice Address - Country:US
Practice Address - Phone:717-567-2147
Practice Address - Fax:717-567-2356
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441257183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist