Organization
FAMILY PHARMACY OF OLYPHANT INC
Active
Organization
FAMILY PHARMACY OF OLYPHANT INC
Active
Other names
FAMILY PHARMACY OF OLYPHANT INC
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS DOUGHERTY RPH (PRESIDENT)
(570) 848-1845
Entity
Organization
Contact information
Practice address
110 DELAWARE AVE, OLYPHANT, PA 18447-1518
(570) 487-4447
(570) 487-2750
Mailing address
110 DELAWARE AVE, OLYPHANT, PA 18447-1518
(570) 487-4447
(570) 487-2750
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP415636L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01793380
—
PA
01
—
3977216
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/16/2006
Last updated
08/01/2011
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