Provider Demographics
NPI:1396067633
Name:HARTNAGLE, JANEL MARIE (RPH)
Entity type:Individual
Prefix:
First Name:JANEL
Middle Name:MARIE
Last Name:HARTNAGLE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 MELLON AVE
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-2738
Mailing Address - Country:US
Mailing Address - Phone:518-852-5509
Mailing Address - Fax:
Practice Address - Street 1:549 HOOSICK ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2105
Practice Address - Country:US
Practice Address - Phone:518-274-5080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046048183500000X
FLPS34595183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist