Doctor Name: | MS. JENNIFER URSO |
NPI Number: | 1376762286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPH, FASCP |
License Number: | RP042650L |
Business Practice Address: | 123 Brubaker Rd Brockway, PA - 158242505 |
Business Phone Number: | 8145037400 |
Business Fax Number: | 8145037170 |
Mailing Address: | 248 Seanor Rd, IRWIN |
State: | PA |
Postal Code: | 156425706 |
Phone Number: | 7247443053 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | RP042650L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |