Organization
NEWTKO INC
Active
Other names
Port Allegany Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SCOTT NEWTON RPH (OWNER)
(814) 642-2871
Entity
Organization
Contact information
Practice address
54 - 56 MAIN STREET, PORT ALLEGANY, PA 16743-0000
(814) 642-2871
(814) 642-7724
Mailing address
54 - 56 MAIN STREET, PORT ALLEGANY, PA 16743-0000
(814) 642-2871
(814) 642-7724
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP410685L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP410685L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025474540001
—
PA
Enumeration date
02/12/2007
Last updated
11/21/2012
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