Individual
HIEN CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 WILBUR WAY, COGAN STATION, PA 17728-9128
(570) 998-2455
Mailing address
66 WILBUR WAY, COGAN STATION, PA 17728-9128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP032558L
PA
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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