Organization
PUNXSUTAWNEY HEALTH CENTER PHARMACY LLC
Active
Other names
The Medicine Shoppe #2003
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOSEPH HORNER RPH (MEMBER)
(814) 938-3077
Entity
Organization
Contact information
Practice address
200 PRUSHNOK DR, SUITE 102, PUNXSUTAWNEY, PA 15767-2343
(814) 618-5957
(814) 618-5774
Mailing address
200 PRUSHNOK DR, SUITE 102, PUNXSUTAWNEY, PA 15767-2343
(814) 618-5957
(814) 618-5774
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482461
PA
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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