Provider Demographics
NPI:1902124605
Name:TAMBURRI, ANDREA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:TAMBURRI
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 1:823 WYNNEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-1034
Mailing Address - Country:US
Mailing Address - Phone:215-721-2119
Mailing Address - Fax:
Practice Address - Street 1:5100 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1123
Practice Address - Country:US
Practice Address - Phone:610-941-6447
Practice Address - Fax:800-275-3149
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP042341L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist