Organization
PLEASANT RIDGE MANOR
Active
Other names
PLEASANT RIDGE MANOR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SMITH (EXEC DIRECTOR)
(814) 474-5521
Entity
Organization
Contact information
Practice address
8300 RIDGE RD, GIRARD, PA 16417-8701
(814) 474-5521
(814) 474-9431
Mailing address
8300 RIDGE RD, GIRARD, PA 16417-8701
(814) 474-5521
(814) 474-9431
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
HP416565L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007744350006
—
PA
01
—
2081200
PK
—
Enumeration date
08/21/2006
Last updated
03/11/2015
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