Individual
MR. A BLAIR LUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
34 EAST 4TH ST, EMPORIUM, PA 15834
(814) 486-3310
(814) 486-0974
Mailing address
34 EAST 4TH ST, EMPORIUM, PA 15834
(814) 486-2326
(814) 486-1065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP029059L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009393900002
—
PA
01
—
3989374
NCPDP
—
Enumeration date
04/27/2006
Last updated
04/21/2011
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