Organization
CCP RETAIL LLC
Active
Organization
CCP RETAIL LLC
Active
Other names
CareSite Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M MESSINA (PRESIDENT/CEO)
(570) 271-7285
Entity
Organization
Contact information
Practice address
320 ROLLING RIDGE DRIVE, STATE COLLEGE, PA 16801
(814) 272-2480
(814) 272-2490
Mailing address
100 N ACADEMY AVE, MC 24-15, DANVILLE, PA 17822-2415
(570) 271-7965
(570) 271-7370
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481609
PA
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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