Organization
UPMC WELLSBORO
Active
Other names
SOLDIERS AND SAILORS MEMORIAL HOSPITAL PHARMACY, UPMC Wellsboro Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MCTISH PHARMD (PHARMACIST)
(570) 723-0157
Entity
Organization
Contact information
Practice address
32-36 CENTRAL AVE, WELLSBORO, PA 16901-1840
(570) 723-0157
(570) 724-6394
Mailing address
600 GRANT ST., US STEEL TOWER, 59TH FLOOR, C/O RENEE JOHNSON, PITTSBURGH, PA 15219-2740
(412) 623-6303
(412) 623-6369
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HP418196L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003767
—
PA
01
—
2085544
PK
—
Enumeration date
12/27/2006
Last updated
09/15/2020
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