Organization
JAY R MONTGOMERY
Active
Other names
Parrish Apothecary Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY RONALD MONTGOMERY RPH. (OWNER)
(814) 355-2914
Entity
Organization
Contact information
Practice address
114 N ALLEGHENY ST, BELLEFONTE, PA 16823-1627
(814) 355-2914
(814) 355-7628
Mailing address
114 N ALLEGHENY ST, BELLEFONTE, PA 16823-1627
(814) 355-2914
(814) 355-7628
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP411782L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000566411
—
PA
Enumeration date
11/19/2006
Last updated
07/07/2008
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