Organization
UNIVERSAL MEDICAL SUPPLIERS INC
Active
Other names
Sullivan Co Med Ctr Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDY S HEINTZELMAN (OFFICE MANAGER)
(570) 286-6711
Entity
Organization
Contact information
Practice address
MAIN AND KING STS, LAPORTE, PA 18626
(570) 946-4116
(570) 946-4322
Mailing address
PO BOX V, LAPORTE, PA 18626
(570) 946-4116
(570) 946-4322
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP413797L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0395144
PACE
PA
05
—
1044153
—
PA
01
—
3951440
NABP
—
Enumeration date
10/17/2006
Last updated
08/22/2020
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