Organization
INTERDEPENDENT HOLDINGS INC
Active
Other names
MCCABE DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS STRAUB RPH (SEC/CFO)
(814) 781-3192
Entity
Organization
Contact information
Practice address
229 MAIN ST, BROOKVILLE, PA 15825-1235
(814) 849-7300
(814) 849-0074
Mailing address
229 MAIN ST, BROOKVILLE, PA 15825-1235
(814) 849-7300
(814) 849-0074
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP411513L
PA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1242857
—
PA
01
—
3962708
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/09/2005
Last updated
12/03/2010
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