NPI 1033564307

Marianne Rydbom, RPH

Practitioner Pharmacist Coalport, PA

Practice location

Address: 1564 Main Street, Coalport, PA 16627
Phone: (814) 672-5387
Fax: (814) 672-3039
Mailing address: PO Box 397, Coalport, PA 16627-0397

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RP038329L (PA)

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Registry record

NPI: 1033564307
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Apr 2016
Record last updated: 25 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.