Individual
DANIELLE LEE ETLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
802 VANDERBILT RD, CONNELLSVILLE, PA 15425-6241
(724) 626-1091
Mailing address
166 ZITNEY RD, VANDERBILT, PA 15486
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP0006550
WV
183500000X
Pharmacist
Primary
RP044351L
PA
Other
Enumeration date
06/13/2009
Last updated
05/31/2012
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