Individual
CHEYENNE ELIZABETH WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72 BEDFORD SQ, EVERETT, PA 15537-6934
(814) 623-1995
Mailing address
1204 STADIUM ST, BERLIN, PA 15530-1445
(814) 701-1962
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP455932
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP455932
BOARD OF PHARMACY
PA
Enumeration date
12/31/2021
Last updated
12/31/2021
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