| NPI | 1518350735 |
|---|---|
| Doing Business As | FAYETTE PHYICIANS NETWORK-UNIONTOWN |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD441591) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-13 |