Kelly Jaczynski

Pharmacist · Bangor, PA

Individual Active NPI

NPI number 1982208096

Practice location

35 N Main St
Bangor, PA 18013-1912
Phone
(610) 588-9425

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NPI record

NPI
1982208096
Entity type
Individual (Type 1)
Enumeration date
November 30, 2020
Last updated
November 30, 2020
Certified
November 30, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X RP447904 PA

About Kelly Jaczynski

Kelly Jaczynski is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 35 N Main St, Bangor, PA 18013-1912. The NPI number 1982208096 was assigned on November 30, 2020 and the record was last updated on November 30, 2020.

Kelly Jaczynski lists a license in the registry: #RP447904 (PA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelly Jaczynski?

The NPI number is 1982208096.

What is the phone number of Kelly Jaczynski?

The phone number listed for the practice location is (610) 588-9425.

Where is Kelly Jaczynski located?

35 N Main St, Bangor, PA 18013-1912.

What is the taxonomy code for Kelly Jaczynski?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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