Jason Kishbaugh

NPI #1992307847 in Coplay, Pennsylvania

Provider Information

NPI Number: 1992307847
Entity Type: Individual
Name: Jason Kishbaugh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 14, 2020
Last Updated: Nov 14, 2020

Practice Location

Address: 202 CHESTNUT ST
City: Coplay
State: Pennsylvania
ZIP Code: 18037-1252
Phone: (610) 262-6314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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