Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
DUBOIS REGIONAL MEDICAL CENTER
Other names
Penn Highlands Community Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUBOIS REGIONAL MEDICAL CENTER
Authorized official
MR. BRIAN KLINE (CFO)
(814) 375-6377
Entity
Organization
Contact information
Practice address
621 S MAIN ST, DU BOIS, PA 15801-1413
(814) 375-6165
(814) 375-6334
Mailing address
621 S MAIN ST, DU BOIS, PA 15801-1413
(814) 375-6165
(814) 375-6334
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482576
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774088
—
PA
Enumeration date
09/03/2015
Last updated
11/16/2016
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