# KLINGENSMITH RIMERSBURG INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Klingensmith's Drug Store \#5
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144897067
- **Authorized official:** JAMIE DAVIS (3RD PARTY BILLING ADMIN/LEAD TECH)
- **Authorized official phone:** (724) 763-4028

## Contact information

- **Practice address:** 650 MAIN STREET, RIMERSBURG, PA 16248-0504
- **Practice address phone:** (814) 473-3141
- **Practice address fax:** (814) 473-6461
- **Mailing address:** PO BOX 151, FORD CITY, PA 16226-0151
- **Mailing address phone:** (724) 763-4028
- **Mailing address fax:** (724) 763-4040

## Taxonomy

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

## Other

- **Enumeration date:** 06/09/2021
- **Last updated:** 06/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 14756160001 | — | PA |