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Individual

EMILY C ANTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
64 CHURCH RD UNIT B, LINFIELD, PA 19468-1010
(570) 903-4946
Mailing address
64 CHURCH RD UNIT B, LINFIELD, PA 19468-1010
(570) 903-4946

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP455076
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RP455076
PENNSYLVANIA STATE LICENSE
PA
Enumeration date
01/01/2021
Last updated
01/01/2021
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