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Organization

JAMES DRUG STORE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD DELLA RPH (OWNER AND PHARMACIST)
(814) 886-2266
Entity
Organization

Contact information

Practice address
601 2ND ST, CRESSON, PA 16630-1226
(814) 886-2266
(814) 886-6819
Mailing address
601 2ND ST, CRESSON, PA 16630-1226
(814) 886-2266
(814) 886-6819

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP411146L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001939902
PA
01
3916573
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
08/10/2006
Last updated
06/19/2008
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