Provider Demographics
NPI:1679613947
Name:FINAFROCK, MICHELLE ANN (RPH)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ANN
Last Name:FINAFROCK
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 1:4847 BUCHANNAN TRAIL EAST
Mailing Address - Street 2:P.O. BOX 18
Mailing Address - City:ZULLINGER
Mailing Address - State:PA
Mailing Address - Zip Code:17272-0018
Mailing Address - Country:US
Mailing Address - Phone:717-377-8055
Mailing Address - Fax:
Practice Address - Street 1:220 PARK AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1230
Practice Address - Country:US
Practice Address - Phone:717-264-7312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP035106R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist