Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDREA ELLEN FORMELLA, PHARMD
Active Sole ProprietorDR. ANDREA ELLEN FORMELLA, PHARMD is a Psychiatric Pharmacist healthcare provider located in TRABUCO CANYON, California. NPI 1730664293 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Pharmacist · TRABUCO CANYON, CA
Registration Details
- NPI Number
- 1730664293
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2018 (7.8631142492225 yrs)
- Last Updated
- Oct 1, 2018
- Licenses
-
11223-40 (WI)11223-40 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28652 MALABAR RDTRABUCO CANYON, CA, 926791622Browse CA providers · Browse ZIP 92679
- Phone
- 5127967547
- Primary Specialty
-
Psychiatric Pharmacist
1835P1300X
- Additional Specialty
- Psychiatric Pharmacist
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.