Individual
KELLY ANN LYDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
2336 ARDMORE BLVD, PITTSBURGH, PA 15221-5202
(412) 273-3487
Mailing address
100 OAKDALE RD, NORTH VERSAILLES, PA 15137-1903
(412) 378-2071
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
22011020352331
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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