Cellerari, Jack L
Cellerari, Jack L is an individual health care provider with primary practice located at 100 Old Lackawanna Trl , Clarks Summit PA 18411-9108. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Cellerari, Jack L can be contacted via phone (570) 587-4717.Contact Information
Primary practice address
100 Old Lackawanna Trl
Clarks Summit PA 18411-9108
Phone: (570) 587-4717
Fax: (570) 587-2619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RP030944L | Pennsylvania |
Profile Details
| NPI number | 1942368592 |
|---|---|
| LBN Legal business name | Cellerari, Jack L |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942368592 | NPPES |
| Pennsylvania | Other | RP030944L | STATE LICENSE NUMBER |
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