Organization
LYCOMING COUNTY MONTGOMERY'S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE R MONTGOMERY RPH (PRESIDENT)
(570) 584-2005
Entity
Organization
Contact information
Practice address
21 S MAIN ST, MONTGOMERY, PA 17752-1120
(570) 547-2361
Mailing address
21 S MAIN ST, MONTGOMERY, PA 17752-1120
(570) 547-2361
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP411587L
PA
Other
Enumeration date
03/12/2007
Last updated
06/18/2013
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