Organization
NORTHWEST PHARMACY SOLUTIONS LLC
Active
Other names
NORTHWEST COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHENIE WERNER (ASST. DIR. OF OPS.)
(814) 724-3107
Entity
Organization
Contact information
Practice address
740 N MAIN STREET EXT STE 102, MEADVILLE, PA 16335-1149
(814) 724-3107
(814) 807-0854
Mailing address
740 N MAIN STREET EXT STE 102, MEADVILLE, PA 16335-1149
(814) 724-3107
(814) 807-0854
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482508
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014555360002
—
PA
01
—
2150937
PK
—
Enumeration date
03/19/2015
Last updated
07/19/2018
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