Organization
JAMES DRUG STORE-PORTAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD ANTHONY DELLA RPH (OWNER)
(814) 886-2266
Entity
Organization
Contact information
Practice address
3692 PORTAGE ST, PORTAGE, PA 15946-6540
(814) 713-8074
Mailing address
3692 PORTAGE ST, PORTAGE, PA 15946-6540
(814) 713-8074
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP481904
PA
Other
Enumeration date
02/20/2010
Last updated
02/20/2010
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