Organization
CLAYSVILLE PHARMACY LLC
Active
Other names
CURTIS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERICH CUSHEY RPH (OWNER)
(724) 663-7707
Entity
Organization
Contact information
Practice address
305 MAIN ST, CLAYSVILLE, PA 15323-3300
(724) 663-7707
(724) 663-5994
Mailing address
305 MAIN ST, CLAYSVILLE, PA 15323-3300
(724) 663-7707
(724) 663-5994
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP410513L
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016973030001
—
PA
01
—
2087773
PK
—
Enumeration date
07/03/2006
Last updated
06/30/2020
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