Individual
ALI M KISHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1205 OVERLOOK RD APT 2, WHITEHALL, PA 18052-6125
(610) 390-2613
Mailing address
1205 OVERLOOK RD APT 2, WHITEHALL, PA 18052-6125
(610) 390-2613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP453247
PA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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