Individual
CHLOE ELIZABETH LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1600 9TH AVE, ALTOONA, PA 16602-2418
(814) 941-2406
Mailing address
1600 9TH AVE, ALTOONA, PA 16602-2418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP454919
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP454919
PHARMACIST LICENSE NUMBER
PA
Enumeration date
09/02/2020
Last updated
09/02/2020
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