Individual
MR. JACK L CELLERARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
100 OLD LACKAWANNA TRL, CLARKS SUMMIT, PA 18411-9108
(570) 587-4717
(570) 587-2619
Mailing address
301 SUSQUEHANNOCK DR, WILKES BARRE, PA 18702-2748
(570) 654-9919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP030944L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP030944L
STATE LICENSE NUMBER
PA
Enumeration date
12/05/2006
Last updated
07/08/2007
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