Organization
LECOM MTM SERVICES
Active
Other names
LECOM School of Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN SCHOLL PHARMD (MANAGER)
(814) 860-8430
Entity
Organization
Contact information
Practice address
1858 W GRANDVIEW BLVD, ATTN.REBECCA WISE-BAYFRONT CAMPUS, ERIE, PA 16509-1025
(814) 868-2584
(814) 868-2589
Mailing address
1858 W GRANDVIEW BLVD, ATTN.REBECCA WISE-BAYFRONT CAMPUS, ERIE, PA 16509-1025
(814) 868-2584
(814) 868-2589
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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