Individual
CHAISE MCKISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 W CHESTER PIKE, HAVERTOWN, PA 19083-3431
(610) 446-5245
Mailing address
112 FOSTER AVE, SHARON HILL, PA 19079-2107
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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