Healthcare Provider Details

I. General information

NPI: 1093704728
Provider Name (Legal Business Name): ANDREW FRANK KUZY RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/15/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 MAIN ST
BENTLEYVILLE PA
15314-1214
US

IV. Provider business mailing address

808 MAIN ST
BENTLEYVILLE PA
15314-1214
US

V. Phone/Fax

Practice location:
  • Phone: 724-239-2211
  • Fax: 724-239-2233
Mailing address:
  • Phone: 724-239-2211
  • Fax: 724-239-2233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP028523L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: