Organization
BOSWELL PRESCRIPTION CENTER, LLC
Active
Organization
BOSWELL PRESCRIPTION CENTER, LLC
Active
Other names
Jacqueline M Martella Single MBR
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE M MARTELLA (PHARMACIST/OWNER)
(814) 629-6624
Entity
Organization
Contact information
Practice address
210 OHIO ST, SUITE A, BOSWELL, PA 15531-1245
(814) 629-6624
Mailing address
210 OHIO ST, SUITE A, BOSWELL, PA 15531-1245
(814) 629-6624
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007406150002
—
PA
01
—
3960160
NCPDP
PA
Enumeration date
08/30/2006
Last updated
10/31/2014
Update your record
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