Individual
ELAINE D VODZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
201 WYOMING AVE, KINGSTON, PA 18704-3501
(570) 283-8267
Mailing address
201 WYOMING AVE, KINGSTON, PA 18704-3501
(570) 283-8267
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP041729L
PA
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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