Organization
PART II PARTNERS LP
Active
Other names
MARKETPLACE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ROGERS RPH (PHARMACY MANAGER)
(814) 333-1910
Entity
Organization
Contact information
Practice address
1121 PARK AVE, MEADVILLE, PA 16335-3107
(814) 333-1910
(814) 333-6673
Mailing address
1121 PARK AVE, MEADVILLE, PA 16335-3107
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP415443L
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01715042
—
PA
01
—
3975034
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
08/11/2008
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