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1487247888
PREM KHATIWODA
ERIE, PA
NPI
1487247888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: PA RP455413)
Enumeration Date
2021-02-16
Last Update Date
2021-02-16
Business Address
PREM KHATIWODA
1520 W 26TH ST
ERIE, PA 16508-1302
Phone number: 814-455-9500
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Mailing Address
PREM KHATIWODA
1222 MISSION DR
ERIE, PA 16509-2933
Phone number: 814-384-8040
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