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Organization
LONGENECKER PHARMACY INC.
Active
Organization
LONGENECKER PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J. RICHARD BROWN R.PH. (PRESIDENT)
(610) 857-2114
Entity
Organization
Contact information
Practice address
108 W 1ST AVE, PARKESBURG, PA 19365-1259
(610) 857-2114
(610) 857-0179
Mailing address
108 W 1ST AVE, PARKESBURG, PA 19365-1259
(610) 857-2114
(610) 857-0179
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PP411519L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19/00564088/01
—
PA
Enumeration date
06/10/2006
Last updated
08/22/2020
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