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Individual

DR. COURTNEY LYN MADL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 W 2ND ST, BERWICK, PA 18603-4635
(570) 752-5200
Mailing address
918 E 5TH ST, BERWICK, PA 18603-3410
(570) 417-8579

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH25821
MA
183500000X
Pharmacist
Primary
RP439735
PA

Other

Enumeration date
03/23/2011
Last updated
03/23/2011
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