Individual
CARRIE ANN SPEAL-PAVOLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
375 PHILADELPHIA ST, INDIANA, PA 15701-2068
(724) 465-2243
(724) 465-0307
Mailing address
621 S 6TH ST, INDIANA, PA 15701-3123
(724) 541-2312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP037685L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP037685L
PENNSYLVANIA STATE BOARD OF PHARMACY
PA
Enumeration date
04/04/2011
Last updated
04/04/2011
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