Organization
FOREST HILLS PHARMACY INC
Active
Organization
FOREST HILLS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LATTANZIO RPH (VP)
(814) 495-9437
Entity
Organization
Contact information
Practice address
552 LOCUST ST, SAINT MICHAEL, PA 15951-0306
(814) 495-9437
(814) 495-9848
Mailing address
PO BOX 306, SAINT MICHAEL, PA 15951-0306
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP413736L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007284790002
—
PA
05
—
1023117
—
PA
01
—
3949091
OTHER ID NUMBER
—
Enumeration date
07/13/2005
Last updated
09/04/2007
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