# TRUTT'S PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114772076
- **Authorized official:** DR. TYLER TRUTT PHARMD (OWNER)
- **Authorized official phone:** (570) 966-8788

## Contact information

- **Practice address:** 55 WALNUT ST, MIFFLINBURG, PA 17844-1116
- **Practice address phone:** (570) 966-8788
- **Practice address fax:** (570) 966-8777
- **Mailing address:** 55 WALNUT ST, MIFFLINBURG, PA 17844-1116
- **Mailing address phone:** (570) 966-8788
- **Mailing address fax:** (570) 966-8777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2024
- **Last updated:** 04/23/2024