Organization
HEIGHTS PRESCRIPTION PHARMACY, INC
Active
Other names
Leechburg Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER J MICKLOW R.PH. (SECRETARY)
(724) 842-1773
Entity
Organization
Contact information
Practice address
165 MARKET ST, LEECHBURG, PA 15656-1334
(724) 842-1773
(724) 845-7897
Mailing address
165 MARKET ST, LEECHBURG, PA 15656-1334
(724) 842-1773
(724) 845-7897
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP410769L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP410769L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007627200005
—
PA
05
—
21544
—
ND
01
—
3929859
NCPDP
PA
Enumeration date
10/21/2006
Last updated
04/12/2010
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