Individual
JACQUELINE STASIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
328-334 MAIN ST, IRWIN, PA 15642
(724) 863-3700
Mailing address
751 ALTMAN ST, NORTH HUNTINGDON, PA 15642-8741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP032538L
PA
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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