| NPI | 1346579224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA M ANNA CEO 814-684-1255 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD050865L) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2019-05-09 |