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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