| NPI | 1639205040 |
|---|---|
| Doing Business As | MARKETPLACE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LAURA ROGERS Pharmacy Manager 814-333-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP415443L) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-08-11 |