Individual
BROOKE LAUREN KLENOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-6365
Mailing address
236 MARKET ST, 2ND FLOOR, PHILADELPHIA, PA 19106-2836
(407) 902-8541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 40820
FL
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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