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Organization
REZK PHARMACY LLC
Active
Organization
REZK PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOSEPH REZK PHARM D (PHARMACIST)
(814) 243-4915
Entity
Organization
Contact information
Practice address
204 SOUTH MAIN ST, SUITE 100, CARROLLTOWN, PA 15722
(814) 344-2200
(814) 344-2600
Mailing address
PO BOX 369, CARROLLTOWN, PA 15722-0369
(814) 344-2200
(814) 344-2600
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
3336S0011X
Specialty Pharmacy
PP481996
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024911070001
—
PA
Enumeration date
03/08/2010
Last updated
02/13/2013
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