Individual
GABRIELLA LOUISE KICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
316 WALNUT ST, NEWPORT, PA 17074-1524
(717) 582-1148
Mailing address
37 S 5TH ST, NEWPORT, PA 17074-1007
(717) 582-1148
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30226438
PA
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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