Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Other names
Means Lauf Super Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BENNETT (OPERATIONS DIRECTOR)
(814) 299-7553
Entity
Organization
Contact information
Practice address
265 ALLEGHENY BLVD, BROOKVILLE, PA 15825-2321
(814) 849-7504
(814) 849-6332
Mailing address
265 ALLEGHENY BLVD, BROOKVILLE, PA 15825-2321
(814) 849-7504
(814) 849-6332
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP411543L
PA
3336L0003X
Long Term Care Pharmacy
PP411543L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030215900001
—
PA
01
—
2153295
PK
—
Enumeration date
08/31/2006
Last updated
08/30/2022
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