Organization
RIVER VALLEY HEALTH
Active
Parent organization
RIVER VALLEY HEALTH
Other names
River Valley Pharmacy, Susquehanna Community Health & Dental Clinic, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVER VALLEY HEALTH
Authorized official
MAX HOUSEKNECHT JR. (PRESIDENT & CEO)
(570) 567-5412
Entity
Organization
Contact information
Practice address
471 HEPBURN ST, WILLIAMSPORT, PA 17701-6122
(570) 567-5400
Mailing address
471 HEPBURN ST, WILLIAMSPORT, PA 17701-6122
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024416060004
—
PA
Enumeration date
04/04/2019
Last updated
09/23/2024
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