Organization
STARWOOD DRUG INC.
Active
Other names
Mosso's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY G. ROSKY RPH (REGISTERED PHARMACIST)
(724) 537-6841
Entity
Organization
Contact information
Practice address
1006 LIGONIER ST, LATROBE, PA 15650-1837
(724) 537-6841
(724) 539-9486
Mailing address
1006 LIGONIER ST, LATROBE, PA 15650-1837
(724) 537-6841
(724) 539-9486
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP411638L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007732310003
—
PA
Enumeration date
10/11/2005
Last updated
12/07/2007
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