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Organization
PORT AQLLEGANY PHARMACY
Active
Organization
PORT AQLLEGANY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JEROME FARBER RPH (OWNER,CHIEF PHARMACIST)
(814) 642-2871
Entity
Organization
Contact information
Practice address
54 N MAIN ST, PORT ALLEGANY, PA 16743-1337
(814) 642-2871
(814) 642-7724
Mailing address
54 N MAIN ST, PORT ALLEGANY, PA 16743-1337
(814) 642-2871
(814) 642-7724
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP025802L
PA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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