Organization
CLAYSVILLE PHARMACY, LLC
Active
Parent organization
CLAYSVILLE PHARMACY, LLC
Other names
Curtis Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLAYSVILLE PHARMACY, LLC
Authorized official
MIAH GRAY (BUSINESS OFFICE)
(724) 633-7707
Entity
Organization
Contact information
Practice address
305 MAIN ST, CLAYSVILLE, PA 15323-3300
(724) 663-7707
(724) 663-5994
Mailing address
305 MAIN ST BOX K, CLAYSVILLE, PA 15323-3300
(724) 663-7077
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016973030001
—
PA
Enumeration date
06/15/2020
Last updated
07/17/2020
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