Organization
PRESCRIPTIONS PLUS OF CONNELLSVILLE INC
Active
Other names
MEDMART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIM MUCCINO (OWNER)
(724) 628-7500
Entity
Organization
Contact information
Practice address
2618 MEMORIAL BLVD STE A, CONNELLSVILLE, PA 15425-1419
(724) 628-7500
(724) 628-7550
Mailing address
2618 MEMORIAL BLVD STE A, CONNELLSVILLE, PA 15425-1419
(724) 628-7500
(724) 628-7550
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP415760L
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100735070001
—
PA
01
—
2085459
PK
—
Enumeration date
06/19/2006
Last updated
11/30/2016
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