Organization
UPMC SOMERSET
Active
Other names
Somerset Hospital Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW RUSH (CHIEF EXECUTIVE OFFICER)
(814) 443-5000
Entity
Organization
Contact information
Practice address
225 S CENTER AVE STE 1049, SOMERSET, PA 15501-2033
(814) 443-5352
(814) 443-5235
Mailing address
225 S CENTER AVE STE 1049, SOMERSET, PA 15501-2033
(814) 443-5352
(814) 443-5235
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482713
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002086660044
—
PA
01
—
2164591
PK
—
Enumeration date
10/19/2016
Last updated
04/11/2019
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