Individual
CARISSA ANN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 VIEWMONT DR, DICKSON CITY, PA 18519-1663
(570) 558-7696
Mailing address
114 SHOEMAKER ST, DUNMORE, PA 18512-2734
(570) 241-3593
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP454158
PA
Other
Enumeration date
02/08/2020
Last updated
02/08/2020
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