| NPI | 1588272884 |
|---|---|
| Other Name | MILLCREEK MANOR VACCINE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JOSHUA A BEERBOWER CFO 814-488-4825 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2025-06-11 |