Organization
LYCOMING COUNTY MONTGOMERYS
Active
Other names
MONTGOMERYS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MONTGOMERY (PRESIDENT)
(570) 584-2005
Entity
Organization
Contact information
Practice address
49 N RAILROAD ST, HUGHESVILLE, PA 17737-1213
(570) 584-2005
(570) 584-5115
Mailing address
49 N RAILROAD ST, HUGHESVILLE, PA 17737-1213
(570) 584-2005
(570) 584-5115
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP411615L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100776565
—
PA
01
—
2079796
PK
—
05
—
884111
—
PA
Enumeration date
01/08/2007
Last updated
01/18/2017
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