Organization
WESTMONT DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CHARLES GNAGEY SR. RPH (PHARMACIST/PARTNER)
(814) 255-4101
Entity
Organization
Contact information
Practice address
1741 GOUCHER ST, JOHNSTOWN, PA 15905
(814) 255-4101
(814) 255-6015
Mailing address
1741 GOUCHER ST, JOHNSTOWN, PA 15905
(814) 255-4101
(814) 255-6015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PP413024C
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030744210001
—
PA
01
—
3913438
NABP
—
Enumeration date
08/30/2006
Last updated
03/02/2022
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