SEREYVISALE PHENG

LEBANON, PA
NPI1619571767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: PA  RP443923)
Enumeration Date2020-11-29
Last Update Date2020-11-29
Business Address
SEREYVISALE PHENG PHARMD
833 BOWMAN ST
LEBANON, PA 17046-8432
Phone number: 717-274-1463
Mailing Address
SEREYVISALE PHENG PHARMD
833 BOWMAN ST
LEBANON, PA 17046-8432
Phone number: 717-274-1463