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General NPI Number Information
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NPI Number | 1649384561
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Entity Type | Organization
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Legal Business Name | KASISKY ENTERPRISES INC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 401 NORTH 4TH ST
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City | INDIANA
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State | PA
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Zip | 15701-2026
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Country | US
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Telephone | 724-349-9170
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Fax | 724-349-9182
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Provider Business Mailing Address
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Address Line | 401 NORTH 4TH ST
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City | INDIANA
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State | PA
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Zip | 15701-2026
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Country | US
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Telephone | 724-349-9170
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Fax | 724-349-9182
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | CHRISTINE KASISKY
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Credential | RPH
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Telephone | 724-349-9170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP412735L
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License Number State | PA
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