Individual
CHRISTYAN KENNEDY ALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1566 W MAIN STREET EXT, GROVE CITY, PA 16127-4432
(724) 458-5977
(724) 458-0538
Mailing address
1566 W MAIN STREET EXT, GROVE CITY, PA 16127-4432
(724) 458-5977
(724) 458-0538
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP041012L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP041012L
LICENSE NUMBER
PA
Enumeration date
02/27/2010
Last updated
02/27/2010
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