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Individual

DWIGHT MOLOTSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 LINCOLN HWY, FAIRLESS HILLS, PA 19030-1417
(215) 295-2834
(215) 295-0274
Mailing address
45 SEEDLING DR, HOLLAND, PA 18966-2839

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
28R101718000
NJ
183500000X
Pharmacist
Primary
RP028567L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28R101718000
STATE LICENSE NUMBER
NY
01
RP028567L
STATE LICENSE NUMBER
PA
Enumeration date
02/12/2008
Last updated
02/12/2008
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