| NPI | 1508082140 |
|---|---|
| Doing Business As | MAINLINE PHARMACY ALTOONA |
| Entity Type | Organization |
| Authorized Contact | STEVEN JOSEPH DECRISCIO CFO 814-408-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA pp413875l) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-09-21 |