Organization
THE REGIONAL CANCER CENTER
Active
Parent organization
THE REGIONAL CANCER CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE REGIONAL CANCER CENTER
Authorized official
KANDY A SUS (CFO)
(814) 838-9000
Entity
Organization
Contact information
Practice address
2500 W 12TH ST, ERIE, PA 16505-4508
(814) 838-9000
Mailing address
2500 W 12TH ST, ERIE, PA 16505-4508
(814) 838-9000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
BR1627768
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007470530003
—
PA
Enumeration date
08/23/2007
Last updated
08/23/2007
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