Provider Demographics
NPI:1699080226
Name:PLATANELLA, JOHN JR (RPH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:PLATANELLA
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1889 SOUTH LINCOLN AVE.
Mailing Address - Street 2:RITE AID #10490
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361
Mailing Address - Country:US
Mailing Address - Phone:856-696-0111
Mailing Address - Fax:856-696-1902
Practice Address - Street 1:1889 SOUTH LINCOLN AVE.
Practice Address - Street 2:RITE AID #10490
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08361
Practice Address - Country:US
Practice Address - Phone:856-696-0111
Practice Address - Fax:856-696-1902
Is Sole Proprietor?:No
Enumeration Date:2010-08-06
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01583100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist