| NPI | 1114393790 |
|---|---|
| Doing Business As | LECOM SENIOR LIVING CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAIME BABIAK Director Of Pharmacy 814-868-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: PA PP482569) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |