| NPI | 1780600114 |
|---|---|
| Doing Business As | MAINLINE PHARMACY - BLAIRSVILLE |
| Entity Type | Organization |
| Authorized Contact | STEVEN JOSEPH DECRISCIO CFO 814-408-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP412331L) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2022-09-28 |