Basic Information
Provider Information
NPI: 1982988093
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PULCINI
FirstName: DANIELA
MiddleName: CHRISTA
NamePrefix:  
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 603 W MORLATTON RD
Address2:  
City: DOUGLASSVILLE
State: PA
PostalCode: 195188760
CountryCode: US
TelephoneNumber: 4849196654
FaxNumber:  
Practice Location
Address1: 1400 BLACKHORSE HILL RD
Address2:  
City: COATESVILLE
State: PA
PostalCode: 193202040
CountryCode: US
TelephoneNumber: 6103847711
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/07/2011
LastUpdateDate: 09/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000XRP445853PAY Pharmacy Service ProvidersPharmacist 

No ID Information.


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