Individual
CAROLYN KUSHWARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
106 SUNBURY ST, MINERSVILLE, PA 17954-1443
(570) 399-5488
(570) 399-5488
Mailing address
2069 YOKEWOOD RD, POTTSVILLE, PA 17901-1321
(570) 622-4696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP042459L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP042469L
PHARMACIST LICENSE
PA
01
—
RPI004779
PHARMACIST LICENSE
PA
Enumeration date
10/10/2017
Last updated
10/10/2017
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