Organization
GAUGHNS DRUG STORE
Active
Other names
Gaughn's Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SCOTT NEWTON PHARMD (VICE PRESIDENT/OWNER)
(814) 723-2840
Entity
Organization
Contact information
Practice address
348 PENNSYLVANIA AVE W, WARREN, PA 16365-2424
(814) 723-2840
(814) 723-3830
Mailing address
348 PENNSYLVANIA AVE W, WARREN, PA 16365-2424
(814) 723-2840
(814) 723-3830
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP410847L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP410847L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011434770001
—
PA
01
—
3927336
NABP NUMBER
PA
Enumeration date
07/08/2006
Last updated
03/07/2023
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