| NPI | 1124117312 |
|---|---|
| Doing Business As | MAINLINE PHARMACY - CRESSON |
| Entity Type | Organization |
| Authorized Contact | STEVEN JOSEPH DECRISCIO CFO 814-408-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP412243L) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-04-21 |