Organization
TRI-VALLEY PHARMACY, INCORPORATED
Active
Other names
Tri-Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY D. KLINE (PRESIDENT)
(570) 682-3145
Entity
Organization
Contact information
Practice address
301 WEST MAIN STREET, VALLEY VIEW, PA 17983-0186
(570) 682-3145
Mailing address
PO BOX 186, VALLEY VIEW, PA 17983-0186
(570) 682-3145
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PP412727L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007504240007
—
PA
Enumeration date
07/20/2005
Last updated
09/14/2011
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