Individual
MISS AMY LEE DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
210 9TH ST, GLASSPORT, PA 15045-1652
(412) 678-5109
(412) 678-7219
Mailing address
49 SAINT JAMES DR, UNIONTOWN, PA 15401-4159
(724) 437-5686
(412) 678-7219
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP038950L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP038950L
PHARMACY LICENSE
PA
Enumeration date
04/19/2007
Last updated
07/08/2007
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