Organization
EVANS CITY APOTHECARY AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY P MUSTOVIC (OWNER PHARMACIST)
(724) 538-3667
Entity
Organization
Contact information
Practice address
122 N WASHINGTON ST, EVANS CITY, PA 16033-1063
(724) 538-3667
(724) 538-3826
Mailing address
122 N WASHINGTON ST, EVANS CITY, PA 16033-1063
(724) 538-3667
(724) 538-3826
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PP415497L
PA
Other
Enumeration date
03/31/2007
Last updated
08/22/2020
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