Individual
DR. BRIAN MICHAEL CEBULKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3 W OLIVE ST, SCRANTON, PA 18508-2572
(570) 207-5970
(570) 207-5971
Mailing address
3 W OLIVE ST, SCRANTON, PA 18508-2572
(570) 207-5970
(570) 207-5971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP448692
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP448692
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCU
PA
01
—
RPI008586
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCU
PA
Enumeration date
09/08/2016
Last updated
02/21/2024
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