Organization
HEIGHTS PRESCRIPTION PHARMACY, INC
Active
Other names
Vandergrift Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER J MICKLOW R.PH. (SECRETARY)
(724) 567-6615
Entity
Organization
Contact information
Practice address
224 LONGFELLOW ST STE 100, VANDERGRIFT, PA 15690-1476
(724) 567-6615
(724) 568-1608
Mailing address
224 LONGFELLOW ST STE 100, VANDERGRIFT, PA 15690-1476
(724) 567-6615
(724) 568-1608
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP411945L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP411945L
PA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007627200001
—
PA
01
—
3942100
NCPDP
PA
Enumeration date
10/21/2006
Last updated
01/09/2024
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