| NPI | 1811992001 |
|---|---|
| Doing Business As | MAINLINE PHARMACY HARRISON CITY |
| Entity Type | Organization |
| Authorized Contact | STEVEN J DECRISCIO CFO 814-408-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: PA PP412338L) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2022-06-08 |