Organization
MOSHANNON VALLEY PHARMACY INC
Active
Other names
Moshannon Valley Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MAX FAUST (COO)
(814) 684-0230
Entity
Organization
Contact information
Practice address
208 MEDICAL CENTER DR, PHILIPSBURG, PA 16866-1948
(814) 342-3750
(814) 342-6323
Mailing address
208 MEDICAL CENTER DR, PHILIPSBURG, PA 16866-1948
(814) 342-3750
(814) 342-6323
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
09/19/2024
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