Organization
PPM INC
Active
Other names
Norvelt Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER JOSEPH MAIDA (PRESIDENT PHARMACIST IN CHARGE)
(724) 423-4100
Entity
Organization
Contact information
Practice address
2310 MT. PLEASANT ROAD, NORVELT, PA 15674
(724) 423-4100
(724) 424-8082
Mailing address
PO BOX 391, NORVELT, PA 15674-0391
(724) 423-4100
(724) 424-8082
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP411708L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005848590001
—
PA
01
—
3912979
NABP#
PA
Enumeration date
09/20/2006
Last updated
08/22/2020
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