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Organization

SOIA LLC

Active
Parent organization
SOIA LLC
Other names
Bloomfield Drug Store, Bloomfield Drug Store LTC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOIA LLC
Authorized official
KATHRYN CONFER PHARMD (OWNER)
(412) 682-4909
Entity
Organization

Contact information

Practice address
4727 LIBERTY AVE, PITTSBURGH, PA 15224-2025
(412) 682-4909
(412) 682-6696
Mailing address
4727 LIBERTY AVE, PITTSBURGH, PA 15224-2025
(412) 682-4909
(412) 682-6696

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103964095
PA
Enumeration date
08/17/2022
Last updated
09/05/2022
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