Individual
HANS WERNER BOTTESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
126 WHITE BIRCH LN, DALLAS, PA 18612-9147
(570) 594-0705
Mailing address
2106 SUNNY LN, DANVILLE, PA 17821-8787
(570) 594-0705
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP030438L
PA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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