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Organization
INDIANA REGIONAL MEDICAL CENTER PHARMACY
Active
Organization
INDIANA REGIONAL MEDICAL CENTER PHARMACY
Active
Other names
INDIANA REGIONAL MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F ICKOWSKI CPA, MBA (CHIEF FINANCIAL OFFICER)
(724) 357-7008
Entity
Organization
Contact information
Practice address
835 HOSPITAL RD, INDIANA, PA 15701-3629
(724) 357-7085
Mailing address
PO BOX 788, INDIANA, PA 15701-0788
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HP418096L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3952048
OTHER ID NUMBER
—
Enumeration date
03/31/2008
Last updated
07/10/2024
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