Individual
MR. ANTHONY CARL STELLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3 PENNSYLVANIA AVE E, THE MEDICINE SHOPPE, WARREN, PA 16365-2526
(814) 726-3741
(814) 726-3716
Mailing address
29 VALLEY VIEW DR, RUSSELL, PA 16345-4053
(814) 757-9418
(814) 726-3716
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP033753L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPI001147
IMMUNIZING RPH
PA
Enumeration date
11/03/2006
Last updated
09/24/2010
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