Organization
TUZZE'S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN P KELLY RPH (RPH-OWNER)
(570) 876-0740
Entity
Organization
Contact information
Practice address
509 POPLAR ST, MAYFIELD, PA 18433-1800
(570) 876-0740
(570) 876-3946
Mailing address
509 POPLAR ST, MAYFIELD, PA 18433-1800
(570) 876-0740
(570) 876-3946
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP411919L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008734770001
—
PA
Enumeration date
03/23/2007
Last updated
08/22/2020
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