Joseph Kersavage JR.

NPI #1629674155 in Dallas, Pennsylvania

Provider Information

NPI Number
1629674155
Entity Type
Individual
Name
Joseph Kersavage JR.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Dec 9, 2020
Last Updated
Dec 9, 2020

Practice Location

Address
5 CHURCH ST
City
Dallas
ZIP Code
18612-1155
Phone
(570) 675-1076

Specialties & Taxonomy Codes

Specialty
Pharmacist

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