Organization
MAINLINE PHARMACY MURRYSVILLE, LLC
Active
Other names
Mainline Pharmacy Murrysville
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JOSEPH DECRISCIO (CFO)
(814) 408-6800
Entity
Organization
Contact information
Practice address
3907 OLD WILLIAM PENN HWY, MURRYSVILLE, PA 15668-1833
(724) 327-6611
(724) 327-5814
Mailing address
3907 OLD WILLIAM PENN HWY, MURRYSVILLE, PA 15668-1833
(724) 327-6611
(724) 327-5814
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP410755L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103992760-0001
—
PA
Enumeration date
12/04/2006
Last updated
04/29/2022
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