| NPI | 1083938294 |
|---|---|
| Other Name | PHIL FANELLI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 025484) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NY 025484) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |