Individual
DEREK KNOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 N 10TH ST, LEWISBURG, PA 17837-1305
(570) 523-3261
Mailing address
350 N 10TH ST, LEWISBURG, PA 17837-1305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP444723
PA
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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