Organization
FAMILY PRESCRIPTION CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN HAMPEL (OWNER AND PHARMACIST)
(570) 457-6789
Entity
Organization
Contact information
Practice address
335 MAIN ST, DURYEA, PA 18642-1026
(570) 457-6789
(570) 451-3154
Mailing address
335 MAIN ST, DURYEA, PA 18642-1026
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP412514L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010952320001
—
PA
01
—
3954345
OTHER ID NUMBER
—
Enumeration date
01/10/2007
Last updated
01/06/2015
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