Healthcare Provider Details

I. General information

NPI: 1558885665
Provider Name (Legal Business Name): KELSIE RENEE ZUROSKI RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KELSIE RENEE CONSTABLE

II. Dates (important events)

Enumeration Date: 07/31/2017
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5690 SHAFFER RD
DU BOIS PA
15801-3870
US

IV. Provider business mailing address

6260 MONTMORENCI RD
RIDGWAY PA
15853-7248
US

V. Phone/Fax

Practice location:
  • Phone: 814-375-6817
  • Fax:
Mailing address:
  • Phone: 814-594-1512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP449566
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: