Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Other names
Penn Highlands Community Pharmacy Clarion
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN S KLINE (CFO)
(814) 375-6377
Entity
Organization
Contact information
Practice address
265 HOLIDAY INN DRIVE ROUTE 68, CLARION, PA 16214
(814) 297-8842
(814) 297-8843
Mailing address
265 HOLIDAY INN DRIVE ROUTE 68, CLARION, PA 16214
(814) 299-7553
(814) 375-6334
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007740880266
—
PA
01
—
7471410003
PTAN
PA
Enumeration date
10/12/2020
Last updated
02/21/2023
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