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NPI Code Detail

MEDICARE: CASSANDRA KISER PHARMD

MEDICARE:   CASSANDRA  KISER  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP455847PA

General Provider Information

NPI Number : 1639890239
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA KISER PHARMD
Provider Business Mailing Address
First Line : 330 W COLUMBUS AVE
Second Line :
City : CORRY
State : PA
Zip : 16407-1002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 330 W COLUMBUS AVE
Second Line :
City : CORRY
State : PA
Zip : 16407-1002
Country : US
Telephone Number : 814-664-2617
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2022
Last Update Date : 09/12/2022

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1942923990 — MATTHEW EUGENE KELLOGG PHARMD
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Directions to “ CASSANDRA KISER PHARMD” Practice Location

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