Organization
BENNETTS VALLEY PHARMACY INC
Active
Other names
BENNETTS VALLEY PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BENNETT (RETAIL DIRECTOR OF OPERATIONS)
(814) 299-7553
Entity
Organization
Contact information
Practice address
18496 BENNETTS VLY HWY, WEEDVILLE, PA 15868-0132
(814) 787-4400
(814) 787-4645
Mailing address
18496 BENNETTS VLY HWY, WEEDVILLE, PA 15868-0132
(814) 787-4400
(814) 787-4645
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP414214L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011692920001
—
PA
01
—
2087183
PK
—
Enumeration date
09/09/2005
Last updated
05/24/2022
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