Organization
EM MEDICAL INC
Active
Other names
PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MIHALEK (MANAGER)
(570) 746-3357
Entity
Organization
Contact information
Practice address
STATE ROUTE 6, WYALUSING, PA 18853-0037
(570) 746-3357
(570) 746-3839
Mailing address
PO BOX 37, WYALUSING, PA 18853-0037
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PP414254L
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007607070001
—
PA
01
—
3959321
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/24/2006
Last updated
07/20/2007
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