Individual
ELLEN MARIE NASTASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
5125 JONESTOWN ROAD, WEIS PHARMACY, HARRISBURG, PA 17112
(717) 540-3906
Mailing address
4403 SAINT ANDREWS WAY, HARRISBURG, PA 17112-1576
(717) 651-9653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP035428-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202206848
VIRGINIA STATE RPH LICENS
VA
01
—
12252
MD RPH LICENSE
MD
01
—
RP-035428-L
STATE LICENSE
PA
01
—
RP0006732
WV RPH LICENSE
WV
01
—
RPI002512
IMMUNIZER
PA
Enumeration date
07/05/2005
Last updated
09/01/2010
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