| NPI | 1588272884 |
|---|---|
| Other Name | MILLCREEK MANOR VACCINE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | ERICA DEMAURI Controller 814-868-2496 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-08-31 |