Individual
KEIANA JADA FALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
1 CVS DR, WOONSOCKET, RI 02895-6146
(800) 746-7287
Mailing address
309 RIDGE AVE, DALLAS, PA 18612-3184
(570) 814-3537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP459374
PA
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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