Individual
BRIAN PRUSINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
21 GEISINGER LN, LEWISTOWN, PA 17044-3400
(717) 242-4264
(717) 242-4266
Mailing address
21 GEISINGER LN, LEWISTOWN, PA 17044-3400
(717) 242-4264
(717) 242-4266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP037630L
PA
183500000X
Pharmacist
RPI007289
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP037630L
PHARMACIST LICENSE
PA
01
—
RPI007289
IMMUNIZATION LICENSE
PA
Enumeration date
03/09/2016
Last updated
03/09/2016
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