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Individual

HEIDI JOAN YANOSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, MBA, RPH

Contact information

Practice address
609 LUZERNE ST, SCRANTON, PA 18504-2626
(570) 344-4404
Mailing address
515 DEWEY ST, DICKSON CITY, PA 18519-1703
(570) 766-7615

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP452263
PA
183500000X
Pharmacist
RPI012076
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
183500000X
PA
Enumeration date
05/21/2018
Last updated
06/16/2018
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