Cole R Dysinger, PHARM.D.

Individual provider Active NPI Pharmacotherapy Pharmacist · Reedsville, PA

NPI 1437397882 · NPPES record last updated Apr 8, 2024

Key facts

NPI
1437397882
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacotherapy Pharmacist 1835P1200X
License
RP442946 (PA)
Practice address
10 Gateway Drive
Reedsville, PA 17084
Phone
(717) 363-9310
Fax
(717) 363-9313
NPI assigned
Jan 22, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP442946PAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP442946 PA
Pharmacotherapy Pharmacist 1835P1200X RP442946 PA Yes

Addresses

Primary practice location

10 Gateway Drive
Reedsville, PA 17084

Mailing address

10 Gateway Drive
Reedsville, PA 17084
Phone (717) 363-9310

Other providers in Reedsville, PA

All providers in Reedsville, PA · Pharmacotherapy Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.