Individual
GINA KNEEREAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3382 BIRNEY PLZ, MOOSIC, PA 18507-1560
(570) 341-0915
(570) 347-4176
Mailing address
3382 BIRNEY PLZ, MOOSIC, PA 18507-1560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP037584L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP037584L
PHARMACY LICENSE NUMBER
PA
Enumeration date
02/27/2010
Last updated
02/27/2010
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