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Individual

DR. DINA MARIE KUSHNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1932 WILLIAM PENN AVE, JOHNSTOWN, PA 15909-1637
(814) 322-1011
Mailing address
251 CASTINE RD, MINERAL POINT, PA 15942-5604
(814) 421-8490

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP451579
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RP451579
COMMONWEALTH OF PENNSYLVANIA STATE BOARD OF PHARMACY
PA
01
RPI011504
COMMONWEALTH OF PENNSYLVANIA STATE BOARD OF PHARMACY
PA
Enumeration date
10/06/2020
Last updated
10/06/2020
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