Organization
COLONIAL FAMILY PHARMACY LLC
Active
Other names
Colonial Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HEATH (PHARMACY MANAGER/OWNER)
(814) 440-2271
Entity
Organization
Contact information
Practice address
3822 COLONIAL AVE, ERIE, PA 16506-3826
(814) 835-0000
(814) 835-0900
Mailing address
3822 COLONIAL AVE, ERIE, PA 16506-3826
(814) 835-0000
(814) 835-0900
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482093
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3994705
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/16/2010
Last updated
11/16/2010
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