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Organization

MOSHANNON VALLEY PHARMACY INC

Active
Other names
MOSHANNON VALLEY PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT BRANSTETTER (MANAGER OF PHARMACIES)
(814) 342-5200
Entity
Organization

Contact information

Practice address
208 MEDICAL CENTER DR, PHILIPSBURG, PA 16866-1948
(814) 342-5200
(814) 342-6749
Mailing address
1605 WASHINGTON AVENUE, PO BOX 529, HYDE, PA 16843-0529
(814) 765-1800

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP413567L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007479930001
PA
01
3928770
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
07/21/2006
Last updated
11/26/2012
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