Doctor Name: | ANTOINETTE J FAIELLA |
NPI Number: | 1376839308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 420101071250616 |
Business Practice Address: | 96 Sw Allapattah Rd Indiantown, FL - 349564307 |
Business Phone Number: | 7725979468 |
Business Fax Number: | |
Mailing Address: | 1458 Sw Dow Ln, PORT SAINT LUCIE |
State: | FL |
Postal Code: | 349531631 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/28/2011 |
NPI Last Update Date: | 10/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 420101071250616 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |