Individual
PATRICIA A KLISHEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH FASCP
Contact information
Practice address
111 RUTHAR DR, NEWARK, DE 19711-8025
(800) 727-0123
(800) 775-3275
Mailing address
96 LOUIS JAMES CT, ASTON, PA 19014-3357
(610) 364-0760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
16185
MD
183500000X
Pharmacist
Primary
A10001715
DE
183500000X
Pharmacist
RP028610L
PA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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