Individual
MR. BRIAN ANTHONY PENDOLPHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
167 SLOCUM ST, KINGSTON, PA 18704-2934
(570) 357-7728
Mailing address
167 SLOCUM ST, KINGSTON, PA 18704-2934
(570) 357-7728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP044290L
PA
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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