Organization
BROWN & GOBIN INCORPORATED
Active
Other names
MAUCH CHUNK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN GOBIN (TREASURER)
(717) 486-8606
Entity
Organization
Contact information
Practice address
1204 NORTH ST, MCT PLAZA, JIM THORPE, PA 18229-1726
(570) 325-5020
(570) 325-5028
Mailing address
1204 NORTH ST, MCT PLAZA, JIM THORPE, PA 18229-1726
(570) 325-5020
(570) 325-5028
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP415422L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017097890001
—
PA
01
—
2083885
PK
—
Enumeration date
11/08/2006
Last updated
02/05/2016
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