Individual provider · Type 1 NPI
Mary F. Canzanese, RPH
Nutrition Support Pharmacist · Swarthmore, PA
NPI number
1114280039
Active
Practice location
107 Rutgers Ave Ste 1
Swarthmore, PA 19081-1725
Fax (484) 472-6562
Mailing address
572 S Heilbron Dr
Media, PA 19063-4500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | RP039153L (PA) |
| Nutrition Support Pharmacist Primary | 1835N1003X | RP-039513L (PA) |
Nutrition Support Pharmacist: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
About NPI 1114280039
Mary F. Canzanese, RPH's National Provider Identifier is 1114280039, issued on Jun 18, 2012. The primary taxonomy on file is Nutrition Support Pharmacist (1835N1003X), and the practice location is in Swarthmore, PA. The record was last updated on Jun 18, 2012.