Provider Demographics
NPI:1487947057
Name:LITTS, JEANETTE S (RPH)
Entity type:Individual
Prefix:MRS
First Name:JEANETTE
Middle Name:S
Last Name:LITTS
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 1:800 ADMIRALS WAY
Mailing Address - Street 2:#1846
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-5231
Mailing Address - Country:US
Mailing Address - Phone:610-416-6082
Mailing Address - Fax:
Practice Address - Street 1:800 ADMIRALS WAY
Practice Address - Street 2:#1846
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-5231
Practice Address - Country:US
Practice Address - Phone:610-416-6082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP030140L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist