Organization
BLACKBURNS PHYSICIANS PHARMACY INC
Active
Other names
Blackburns
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD C RUKAS RPH (PRESIDENT/CEO)
(724) 224-9100
Entity
Organization
Contact information
Practice address
301 CORBET ST, TARENTUM, PA 15084-1877
(724) 224-9100
(724) 224-6108
Mailing address
301 CORBET ST, TARENTUM, PA 15084-1877
(724) 224-9100
(724) 224-6108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PP411868L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005581420001
—
PA
Enumeration date
08/09/2005
Last updated
07/03/2012
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