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Individual

ALLEN HITNER OSTAPKOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8218
Mailing address
1255 HAVEN AVE, OCEAN CITY, NJ 08226-3247
(609) 744-9933

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP030767L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RP030767L
PHARMACIST LICENSE
PA
Enumeration date
01/01/2019
Last updated
01/01/2019
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