Provider Demographics
NPI:1669809679
Name:GIOMBETTI, NADINE MARIE (PHARMD)
Entity type:Individual
Prefix:MS
First Name:NADINE
Middle Name:MARIE
Last Name:GIOMBETTI
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 1:631 ROUTE 9 S
Mailing Address - Street 2:
Mailing Address - City:LITTLE EGG HARBOR TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08087-4031
Mailing Address - Country:US
Mailing Address - Phone:609-296-6430
Mailing Address - Fax:
Practice Address - Street 1:631 ROUTE 9 S
Practice Address - Street 2:
Practice Address - City:LITTLE EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08087-4031
Practice Address - Country:US
Practice Address - Phone:865-525-4189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP447696183500000X
TN00000037848183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist