Organization
THE REGIONAL CANCER CENTER
Active
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
Update your record
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