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Individual

DAVID SCOTT KAUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1665 NORTH ATHERTON PLACE, STATE COLLEGE, PA 16803
(814) 237-8415
Mailing address
122 GRANT CIR, BELLEFONTE, PA 16823-7960

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP449550
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RP449550
STATE LICENSE
PA
01
RPI009668
LICENSE TO ADMINISTER INJECTABLES
PA
Enumeration date
09/18/2017
Last updated
09/18/2017
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