Individual
PATTY KEYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 UNION DEPOSIT RD # 103, HARRISBURG, PA 17109-5922
(717) 516-5397
Mailing address
3915 UNION DEPOSIT RD # 103, HARRISBURG, PA 17109-5922
(814) 360-9958
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
RP437172
PA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP437172
PA
1835P1200X
Pharmacotherapy Pharmacist
RP437172
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP437172
PHARMACY LICENSE
PA
Enumeration date
05/04/2015
Last updated
07/03/2018
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