Organization
INDIANA REGIONAL MEDICAL CENTER PHARMACY
Active
Other names
INDIANA REGIONAL MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F ICKOWSKI CPA, MBA (CHIEF FINANCIAL OFFICER)
(724) 357-7008
Entity
Organization
Contact information
Practice address
835 HOSPITAL RD, INDIANA, PA 15701-3629
(724) 357-7085
Mailing address
PO BOX 788, INDIANA, PA 15701-0788
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HP418096L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3952048
OTHER ID NUMBER
—
Enumeration date
03/31/2008
Last updated
07/10/2024
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