Individual
MRS. ANNAMARY KISIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH, BCGP
Contact information
Practice address
500 OLD POND RD STE 406, BRIDGEVILLE, PA 15017-1272
(412) 257-1263
(412) 257-1266
Mailing address
500 OLD POND RD STE 406, BRIDGEVILLE, PA 15017-1272
(412) 257-1263
(412) 257-1266
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
RP036921L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9101107
BOARD CERTIFIED GERIATRIC PHARMACIST
—
Enumeration date
12/20/2006
Last updated
03/29/2021
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