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Individual

DANIEL C WELLHAUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
500 OLD POND RD, BRIDGEVILLE, PA 15017-1272
(412) 257-1263
(412) 257-1266
Mailing address
1000 CENTERGATE DR, BETHEL PARK, PA 15102-1412
(412) 835-4767
(412) 257-1266

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP036933L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RP036933L
PHARMACY LICENSE
PA
Enumeration date
10/12/2006
Last updated
07/08/2007
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