Healthcare Provider Details

I. General information

NPI: 1881920510
Provider Name (Legal Business Name): CHARLENE YABLONSKY PHARM.D., R.PH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2009
Last Update Date: 09/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 KELLY ST SUITE 1
ARCHBALD PA
18403-1627
US

IV. Provider business mailing address

4 KELLY ST SUITE 1
ARCHBALD PA
18403-1627
US

V. Phone/Fax

Practice location:
  • Phone: 570-876-3312
  • Fax: 570-876-4251
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRP438551
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP438551
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: