Individual
DANIEL MARTIN ANDRUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHAMD
Contact information
Practice address
811 E STATE ST, SHARON, PA 16146-3340
(724) 342-4680
Mailing address
3717 LONGVIEW RD, HERMITAGE, PA 16148-6173
(724) 699-1434
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP448689
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP448689
PHARMACIST LICENCE
PA
01
—
RPI008583
AUTHORIZATION TO ADMINISTER INJECTABLES
PA
Enumeration date
08/20/2014
Last updated
08/20/2014
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