DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFREY FANECK, PHARMD

Active Sole Proprietor

JEFFREY FANECK, PHARMD is a Pharmacist healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1679889570 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · PHILADELPHIA, PA

Registration Details

NPI Number
1679889570
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2010 (15.938774888909 yrs)
Last Updated
Aug 30, 2010
Licenses
RP442250 (PA)
PR5192 (ME)
Sole Proprietor
Yes

Practice Information

Address
3601 MIDVALE AVE
PHILADELPHIA, PA, 191291712
Browse PA providers · Browse ZIP 19129
Phone
2158422950
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in PHILADELPHIA, PA

Name Credential NPI
MICHAEL SMIKOVECUS 1942205836
WILSON PAGAN RPH 1124025945
RICHARD S OST RPH 1578560330
MR. ROCCO JOSEPH DIMATTIA III RPH 1225036874
MR. JONAS KOSIK 1043218175
DR. JOEL STUART SHUSTER PHARM.D. 1699774612
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.