Organization
CLAYSVILLE PHARMACY LLC
Active
Other names
Hunter Pharmacy, CURTIS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERICH CUSHEY RPH (OWNER)
(724) 663-7707
Entity
Organization
Contact information
Practice address
802 VANDERBILT RD, CONNELLSVILLE, PA 15425-6241
(724) 626-1091
(724) 626-0162
Mailing address
802 VANDERBILT RD, CONNELLSVILLE, PA 15425-6241
(724) 626-1091
(724) 626-0162
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PP412619L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024774490002
—
PA
01
—
2169336
PK
—
Enumeration date
05/31/2017
Last updated
06/18/2021
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