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Organization

COMMUNITY HEALTH NET

Active
Other names
Community Health Net Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG A ULMER (CEO)
(814) 454-4530
Entity
Organization

Contact information

Practice address
1202 STATE ST, ERIE, PA 16501-1914
(814) 464-9520
(814) 464-9585
Mailing address
PO BOX 369, ERIE, PA 16512-0369
(814) 455-7222

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481962
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007543070050
PA
01
2125759
PK
Enumeration date
06/30/2010
Last updated
04/21/2023
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