Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Nov 16, 2021
License(s)
RP455776 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1027 KINGSDOWN CT | Ambler, PA 19002-1833 | |
| LOCATION | 1111 E END BLVD | Wilkes Barre, PA 18711-0030 | 570-824-3521 |
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