Provider Demographics
NPI:1851862239
Name:LUBINSKI, KERRY LYNN (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:KERRY
Middle Name:LYNN
Last Name:LUBINSKI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:FORTY FORT
Mailing Address - State:PA
Mailing Address - Zip Code:18704-4902
Mailing Address - Country:US
Mailing Address - Phone:570-947-7603
Mailing Address - Fax:
Practice Address - Street 1:58 PUBLIC SQ # 60
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18701-2610
Practice Address - Country:US
Practice Address - Phone:570-284-3756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-11
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty