IndividualActive
Mary Canzanese, RPH
NPI 1114280039 · Nutrition Support Pharmacist · Swarthmore, PA
Provider details
- NPI number
- 1114280039
- Entity type
- Individual
- Primary specialty
- Nutrition Support PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
- License
- RP039153L (PA)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
107 Rutgers Ave Ste 1
Swarthmore, PA 19081-1725
Phone: (484) 472-6561
Fax: (484) 472-6562
Approximate (ZIP-level) locationGet directions
Mailing address
572 S Heilbron Dr
Media, PA 19063-4500
Registry dates
- Enumerated
- 2012-06-18
- Last updated
- 2012-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.