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1508013111
KIMBERLY LYNN NISSEN
DANVILLE, PA
NPI
1508013111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1835P1200X Pharmacist, Pharmacotherapy
(Licence: PA RP041116L)
Enumeration Date
2008-08-26
Last Update Date
2008-08-26
Business Address
Mrs. KIMBERLY LYNN NISSEN RPh
100 N ACADEMY AVE PHARMACY 42-01
DANVILLE, PA 17822-9800
Phone number: 570-271-6671
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Mailing Address
Mrs. KIMBERLY LYNN NISSEN RPh
20 ALEXIS DR
BLOOMSBURG, PA 17815-7718
Phone number: 570-389-1503
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