Jeter, Casandra Bonita

Jeter, Casandra Bonita is an individual health care provider with primary practice located at 2201 W Allegheny Ave , Philadelphia PA 19132-1420. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Jeter, Casandra Bonita can be contacted via phone (215) 223-8979.

Contact Information

Primary practice address
2201 W Allegheny Ave Philadelphia PA 19132-1420
Phone: (215) 223-8979
Fax: (215) 227-0932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RP029008L Pennsylvania

Profile Details

NPI number 1336453521
LBN Legal business name Jeter, Casandra Bonita
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2010
Last updated Jul 30th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336453521 NPPES
Pennsylvania Other 1679663793 NPI

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