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Organization

FAMILY PHARMACY OF ARCHBALD INC

Active
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Organization

FAMILY PHARMACY OF ARCHBALD INC

Active
Other names
FAMILY PHARMACY OF ARCHBALD
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS DOUGHERTY RPH (PRESIDENT)
(570) 848-1845
Entity
Organization

Contact information

Practice address
4 KELLY ST, KENNEDY PLZ 1, ARCHBALD, PA 18403-1627
(570) 876-3312
(570) 876-4251
Mailing address
4 KELLY ST, KENNEDY PLZ 1, ARCHBALD, PA 18403-1627
(570) 876-3312
(570) 876-4251

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PP414382L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01500684
PA
01
2079923
PK
Enumeration date
10/12/2006
Last updated
12/23/2015
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