Organization
PHARM-ASSIST INC
Active
Organization
PHARM-ASSIST INC
Active
Other names
Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MAX FAUST (COO)
(814) 684-0230
Entity
Organization
Contact information
Practice address
1256 PENNSYLVANIA AVE, TYRONE, PA 16686-1618
(814) 684-0230
(814) 684-0845
Mailing address
1256 PENNSYLVANIA AVE, TYRONE, PA 16686-1618
(814) 684-0230
(814) 684-0845
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
6000007948
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP410763L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005967420002
—
PA
Enumeration date
12/02/2006
Last updated
08/20/2019
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