| NPI | 1568655504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDY A SUS CFO 814-838-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA BR1627768) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |