Organization
KLINGENSMITH DRUG INC
Active
Other names
KLINGENSMITH'S DRUG STORES #7
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE DAVIS (LEAD TECH/3RD PARTY BILLING ADMIN)
(724) 763-4028
Entity
Organization
Contact information
Practice address
4075 THIRD STREET, NUMINE, PA 16244-0172
(724) 783-7341
(724) 783-7510
Mailing address
PO BOX 151, FORD CITY, PA 16226-0151
(724) 763-4028
(724) 763-4040
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0946270006
MEDICAR
PA
05
—
1007742930026
—
PA
01
—
PP-411244L
STATE BOARD OF PHARMACY
PA
Enumeration date
05/27/2021
Last updated
03/07/2023
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