Individual
CHRISTOPHER MICHAEL KOVALYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
241 W LONG AVE, DU BOIS, PA 15801-2105
(814) 371-9320
Mailing address
241 W LONG AVE, DU BOIS, PA 15801-2105
(814) 371-9320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP037499L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP037499L
PA STATE LICENSE
PA
Enumeration date
05/06/2008
Last updated
05/06/2008
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