Organization
KLINGENSMITH DRUG INC
Active
Other names
Klingensmith's Drug Store #2
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE DAVIS (3RD PARTY BILLING ADMIN/LEAD TECH)
(724) 763-4028
Entity
Organization
Contact information
Practice address
117 3RD ST STE A, LEECHBURG, PA 15656-1215
(724) 845-7501
(724) 845-7818
Mailing address
PO BOX 151, FORD CITY, PA 16226-0151
(724) 763-4028
(724) 763-4040
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007742930017
—
PA
Enumeration date
05/21/2021
Last updated
05/21/2021
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