| NPI | 1225142318 |
|---|---|
| Doing Business As | MAINLINE PHARMACY - DAVIDSVILLE |
| Entity Type | Organization |
| Authorized Contact | STEVEN J DECRISCIO CFO 814-408-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP411037L) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2022-06-08 |