Organization
BAYERS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN THOMAS LYPSON PHARMACIST (OWNER)
(814) 754-8250
Entity
Organization
Contact information
Practice address
1 N 4TH ST, YOUNGWOOD, PA 15697-1305
(814) 754-8250
Mailing address
168 S PENINSULA DR, CENTRAL CITY, PA 15926-9206
(814) 754-8250
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP-410132-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005818390001
—
PA
01
—
039123310147
PACE/PACENET
PA
01
—
3912335
NABP NUMBER
PA
Enumeration date
07/15/2006
Last updated
05/04/2012
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