Organization
MEMAW INC
Active
Other names
Rochester Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DAVIS (OWNER)
(412) 298-3360
Entity
Organization
Contact information
Practice address
176 VIRGINIA AVE FL 3, ROCHESTER, PA 15074-1723
(724) 987-6085
(724) 987-6084
Mailing address
1314 7TH AVE, BEAVER FALLS, PA 15010-4217
(724) 987-6085
(724) 987-6084
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482536
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149658
PK
—
Enumeration date
01/12/2015
Last updated
11/20/2020
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