Individual
BRIAN C DAMCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
961 E COLUMBUS AVE, CORRY, PA 16407-9163
(814) 663-7065
(814) 663-8072
Mailing address
961 EAST COLUMBUS AVE, CORRY, PA 16407
(814) 663-7065
(814) 663-8072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP440444
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007455310102
—
PA
Enumeration date
02/26/2010
Last updated
02/26/2010
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