Kelly Jaczynski
Pharmacist in Bangor, PA. Individual provider (NPI-1).
NPI number1982208096
StatusActive
Last updated in NPPESNov 30, 2020
Details
- NPI
- 1982208096
- Entity type
- Individual (NPI-1)
- Name
- Kelly Jaczynski
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2020
- Certification date
- Nov 30, 2020
- Last updated
- Nov 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RP447904 | PA | Yes |
Practice location
35 N Main StBangor, PA 18013-1912
Phone 610-588-9425
Mailing address
35 N Main StBangor, PA 18013-1912
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