Individual
ANDREW LIBERATISCIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 TOWNSEDGE DR, QUARRYVILLE, PA 17566-1300
(717) 786-1191
Mailing address
112 TOWNSEDGE DR, QUARRYVILLE, PA 17566-1300
(717) 786-1191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP444693
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP444693
PHARMACIST LICENSE
PA
01
—
RPI005529
AUTHORIZATION TO ADMINISTER INJECTABLES
PA
Enumeration date
09/18/2018
Last updated
09/18/2018
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