Provider Demographics
NPI:1093704728
Name:KUZY, ANDREW FRANK (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:FRANK
Last Name:KUZY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BENTLEYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15314-1214
Mailing Address - Country:US
Mailing Address - Phone:724-239-2211
Mailing Address - Fax:724-239-2233
Practice Address - Street 1:808 MAIN ST
Practice Address - Street 2:
Practice Address - City:BENTLEYVILLE
Practice Address - State:PA
Practice Address - Zip Code:15314-1214
Practice Address - Country:US
Practice Address - Phone:724-239-2211
Practice Address - Fax:724-239-2233
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP028523L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP028523LOtherPA STATE PHARMACIST