Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEROME PRUSACK
Active Sole ProprietorJEROME PRUSACK is a Pharmacist healthcare provider located in SPRINGVILLE, Pennsylvania. NPI 1225577463 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · SPRINGVILLE, PA
Registration Details
- NPI Number
- 1225577463
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2017 (9.5135057284447 yrs)
- Last Updated
- Feb 21, 2017
- License
-
RP000136L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6591 STATE ROUTE 29SPRINGVILLE, PA, 188447608Browse PA providers · Browse ZIP 18844
- Phone
- 5707377004
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.