Organization
MED CENTER PHARMACY
Active
Organization
MED CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL IRVIN RPH (MANG)
(814) 684-4212
Entity
Organization
Contact information
Practice address
CLOY AVE EXTENSION, TYRONE, PA 16686
(814) 684-4212
(814) 684-1410
Mailing address
CLOY AVE EXTENSION, TYRONE, PA 16686
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP411803L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016864230001
—
PA
01
—
3939711
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
04/03/2007
Last updated
09/11/2025
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