| NPI | 1841555828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS REED Fiscal Services Administrator 814-242-7789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: PA HP41705L) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2022-05-24 |