License holder summary

JEROME THOMAS PRUSACK is a Pharmacy - Authorization to Administer Injectables licensed to practice in Pennsylvania. The address on file for JEROME THOMAS PRUSACK is SPRINGVILLE PA 18844. This licensed professional license is current. The license was granted 05/15/2013 and expired on 09/30/2016.

Pennsylvania

Department of State

JEROME THOMAS PRUSACK
Pharmacy - Authorization to Administer Injectables
License number
RPI007286
Date granted
05/15/2013
Date expires
09/30/2016
Class
Pharmacy - Authorization to Administer Injectables
Status
Active
Address
SPRINGVILLE PA 18844
palicensing.org
ID 17047910
LAST UPDATED 2024-04-07 23:50:17 UTC

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