Individual
ELLEN J GUSTETIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20245 ROUTE 19, CRANBERRY TOWNSHIP, PA 16066-6101
(724) 772-4553
Mailing address
340 WARRICK DR, SEVEN FIELDS, PA 16046-8018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP040091L
PA
183500000X
Pharmacist
RPI008517
PA
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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