# MOSHANNON VALLEY PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Moshannon Valley Pharmacy LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659902740
- **Authorized official:** WILLIAM MAX FAUST (COO)
- **Authorized official phone:** (814) 684-0230

## Contact information

- **Practice address:** 208 MEDICAL CENTER DR, PHILIPSBURG, PA 16866-1948
- **Practice address phone:** (814) 342-3750
- **Practice address fax:** (814) 342-6323
- **Mailing address:** 208 MEDICAL CENTER DR, PHILIPSBURG, PA 16866-1948
- **Mailing address phone:** (814) 342-3750
- **Mailing address fax:** (814) 342-6323

## Taxonomy

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

## Other

- **Enumeration date:** 01/28/2020
- **Last updated:** 09/19/2024