Organization
BONTRAL, INC.
Active
Other names
Union City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS RICHARD REICHERT R.PH. (OWNER/MANAGER)
(814) 438-7570
Entity
Organization
Contact information
Practice address
16395 ROUTE 8, UNION CITY, PA 16438-1501
(814) 438-7570
(814) 438-2229
Mailing address
16395 ROUTE 8, UNION CITY, PA 16438-1501
(814) 438-7570
(814) 438-2229
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP415257L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016225980002
—
PA
01
—
3972545
NCPDP
PA
Enumeration date
08/19/2006
Last updated
08/25/2015
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