Individual
ANTHONY DELOIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
20 INDUSTRIAL DR, DU BOIS, PA 15801-3842
(814) 375-5005
Mailing address
20 INDUSTRIAL DR, DU BOIS, PA 15801-3842
(814) 375-5005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP029448L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1PX2-W12-DQ00
—
PA
Enumeration date
11/02/2020
Last updated
11/02/2020
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