Organization
CENTRAL PA PHARMACY LLC.
Active
Organization
CENTRAL PA PHARMACY LLC.
Active
Other names
patton pharmacy and v&s variety
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA RAE BAUM PHARM D (OWNER)
(814) 674-3693
Entity
Organization
Contact information
Practice address
503 RAILROAD AVE, STE 2, PATTON, PA 16668-1342
(814) 674-3693
(814) 674-5446
Mailing address
503 RAILROAD AVE, STE 2, PATTON, PA 16668-1342
(814) 674-3693
(814) 674-5446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PP413554L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009594190002
—
PA
Enumeration date
12/31/2005
Last updated
04/25/2022
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