Organization
ALLIANCE MEDICATION SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE HINCHMAN (MANAGING MEMBER)
(570) 668-8820
Entity
Organization
Contact information
Practice address
88 MAHANOY AVE, TAMAQUA, PA 18252-4002
(866) 668-8590
(570) 668-1490
Mailing address
PO BOX 222, BARNESVILLE, PA 18214-0222
(570) 668-8820
(570) 668-8825
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP482133
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PP482133
BOARD OF PHARMACY
PA
Enumeration date
06/28/2011
Last updated
06/11/2015
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