Individual
AUNNEE LOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
30 W.RIDGE PIKE, LIMERICK, PA 19468
(610) 454-7295
Mailing address
30 W RIDGE PIKE, LIMERICK, PA 19468
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP439445
PA
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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