# UPMC WELLSBORO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOLDIERS AND SAILORS MEMORIAL HOSPITAL PHARMACY, UPMC Wellsboro Hospital Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235294422
- **Authorized official:** JOSEPH MCTISH PHARMD (PHARMACIST)
- **Authorized official phone:** (570) 723-0157

## Contact information

- **Practice address:** 32-36 CENTRAL AVE, WELLSBORO, PA 16901-1840
- **Practice address phone:** (570) 723-0157
- **Practice address fax:** (570) 724-6394
- **Mailing address:** 600 GRANT ST., US STEEL TOWER, 59TH FLOOR, C/O RENEE JOHNSON, PITTSBURGH, PA 15219-2740
- **Mailing address phone:** (412) 623-6303
- **Mailing address fax:** (412) 623-6369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | HP418196L | PA | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 09/15/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100003767 | — | PA |
| 01 | — | 2085544 | PK | — |
