Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Other names
McCabe Drug
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC WOLFGANG PHARMD (RETAIL PHARMACY MANAGER)
(814) 375-6164
Entity
Organization
Contact information
Practice address
419 E MAIN ST, REYNOLDSVILLE, PA 15851-1285
(814) 653-8295
(814) 653-8295
Mailing address
419 E MAIN ST, REYNOLDSVILLE, PA 15851-1285
(814) 653-8295
(814) 653-8295
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP411512L
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2080837
PK
—
05
—
6513570001
—
PA
Enumeration date
03/08/2007
Last updated
02/26/2018
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