Individual
DR. CRISTINA PENETAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2968 ELMIRA ST, SAYRE, PA 18840-2600
(570) 888-7516
Mailing address
2968 ELMIRA ST, SAYRE, PA 18840-2600
(570) 888-7516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202212630
VA
183500000X
Pharmacist
Primary
RP448309
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202212630
VIRGINIA BOARD OF PHARMACY
VA
01
—
RP448309
PENNSYLVANIA BOARD OF PHARMACY
PA
Enumeration date
03/13/2014
Last updated
03/13/2014
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