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Organization

CLARION DEVELOPMENT CORPORATION

Active
Parent organization
CLARION DEVELOPMENT CORPORATION
Other names
marienville pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLARION DEVELOPMENT CORPORATION
Authorized official
JENNIFER HAWTHORN (MANAGER)
(814) 927-8700
Entity
Organization

Contact information

Practice address
120 CHERRY ST, MARIENVILLE, PA 16239
(814) 927-8700
Mailing address
120 CHERRY ST., P.O. BOX 434, MARIENVILLE, PA 16239
(814) 927-8700
(814) 927-8142

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP415304L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP415304L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007277670007
PA
Enumeration date
10/06/2006
Last updated
06/19/2009
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