Provider Demographics
NPI:1720735251
Name:RAPPE, JOI ROSE
Entity Type:Individual
Prefix:
First Name:JOI
Middle Name:ROSE
Last Name:RAPPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 S CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-5432
Mailing Address - Country:US
Mailing Address - Phone:610-316-0108
Mailing Address - Fax:
Practice Address - Street 1:606 S CEDAR LN
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-5432
Practice Address - Country:US
Practice Address - Phone:610-316-0108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA039416183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist