Healthcare Provider Details

I. General information

NPI: 1285954990
Provider Name (Legal Business Name): KIMBERLY JOAN SKRABSKI RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 06/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 CENTENNIAL WAY
SCOTTDALE PA
15683-1741
US

IV. Provider business mailing address

306 HORSE SHOE BEND RD
ACME PA
15610-1288
US

V. Phone/Fax

Practice location:
  • Phone: 724-887-4727
  • Fax:
Mailing address:
  • Phone: 724-547-4162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP-036469-R
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: