Individual
ELAINE COUTROS BLONDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 DRINKER TPKE, COVINGTON TOWNSHIP, PA 18444-7947
(570) 842-7848
Mailing address
302 HILLSIDE DR, MOSCOW, PA 18444-8624
(570) 650-6306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RI01689000
NJ
183500000X
Pharmacist
Primary
RP032788L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RI01689000
PHARMACY LICENSE
NJ
01
—
RP032788L
PHARMACY LICENSE
PA
Enumeration date
03/18/2016
Last updated
03/18/2016
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