Individual
MRS. FAITHANN MARIAN MUSTOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
201 E MAIN ST, EVANS CITY, PA 16033-1219
(724) 538-4240
(724) 538-3826
Mailing address
460 CONRAD DR, MARS, PA 16046-4010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP036637L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP036637L
PHARMACY LICENSE
PA
Enumeration date
02/01/2007
Last updated
07/08/2007
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