Organization
GIBSONIA PHCY AND HLTH CNTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAMA KHOURY (OWNER)
(724) 776-6525
Entity
Organization
Contact information
Practice address
5499 WILLIAM FLYNN HWY, GIBSONIA, PA 15044-9675
(724) 443-8300
(724) 443-8302
Mailing address
5499 WILLIAM FLYNN HWY, GIBSONIA, PA 15044-9675
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP481571
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3985908
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/11/2006
Last updated
08/22/2020
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