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Organization

PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE

Active
Other names
Ebensburg Center Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE GRIFFITH (CHIEF PHARMACIST)
(814) 472-0498
Entity
Organization

Contact information

Practice address
4501 ADMIRAL PEARY HWY, EBENSBURG, PA 15931-4332
(814) 472-0495
(814) 472-0572
Mailing address
4501 ADMIRAL PEARY HWY, EBENSBURG, PA 15931-4332

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP417043L
PA
3336I0012X
Institutional Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0743150
PA
01
3951969
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
06/14/2006
Last updated
06/25/2008
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