Individual
DEBORAH ANNE MISSIGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1913 E 3RD ST, WILLIAMSPORT, PA 17701-3901
(570) 323-0402
Mailing address
1913 E 3RD ST, WILLIAMSPORT, PA 17701-3901
(570) 323-0402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP035899L
PA
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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