Organization
BIG SPRING PHARMACY INC
Active
Organization
BIG SPRING PHARMACY INC
Active
Other names
BIG SPRING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN GOBIN (TREASURER)
(717) 486-8606
Entity
Organization
Contact information
Practice address
91 S HIGH ST, NEWVILLE, PA 17241-1405
(717) 776-0288
(717) 776-4362
Mailing address
91 S HIGH ST, NEWVILLE, PA 17241-1405
(717) 776-0288
(717) 776-4362
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481806
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023933200001
—
PA
01
—
2082487
PK
—
Enumeration date
02/16/2008
Last updated
11/09/2015
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