Provider Demographics
NPI:1396082061
Name:FRANCELLA, NANCY LEE (RPH)
Entity type:Individual
Prefix:MISS
First Name:NANCY
Middle Name:LEE
Last Name:FRANCELLA
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 1:1302 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-2346
Mailing Address - Country:US
Mailing Address - Phone:352-375-6167
Mailing Address - Fax:352-375-7597
Practice Address - Street 1:1302 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-2346
Practice Address - Country:US
Practice Address - Phone:352-375-6167
Practice Address - Fax:352-375-7597
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0024837183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist