Kenneth Warren Dietel SR. RPH

NPI 1114134038 - Pharmacist - 183500000X

NPI Details
NPI 1114134038
Gender Male
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
24 BETTS DR
WASHINGTON CROSSING PA, 18977-1355, US
Phone (215) 493-1463
Fax
Business Location
24 BETTS DR
WASHINGTON CROSSING PA, 18977-1355, US
Phone (215) 493-1463
Fax
Toxanomy
Taxonomy Code 183500000X
License State New Jersey
License Number 28RI01259700
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According to our database, Mr. Kenneth Warren Dietel SR. RPH NPI is 1114134038, taxonomy code is 183500000X and license number is 28RI01259700, license state is located at New Jersey. Kenneth Warren Dietel SR. RPH physically located at 24 Betts Dr, Washington Crossing PA, 18977-1355. NPI Number Kenneth Warren Dietel SR. RPH has the Individual type.

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1114134038 NPI number is provided on an as is basis without warranty of any kind. 1114134038 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Warren Dietel SR. RPH are for informational purposes only.