Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Community Pharmacy St. Marys, ST MARYS PHARMACY INC, St. Mary's Pharmacy Inc., Penn Highlands Community Pharmacy Saint Marys
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
BRIAN S KLINE (CFO/AUTHORIZED OFFICIAL)
(814) 375-6377
Entity
Organization
Contact information
Practice address
765 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(814) 834-3017
(814) 834-1031
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 834-3017
(814) 834-1031
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774088
—
PA
01
—
2080904
PK
—
01
—
PP412367L
LICENSE
PA
Enumeration date
09/09/2005
Last updated
12/10/2025
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