Organization
HMD INC
Active
Other names
BEAVER HEALTHMART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE CERVONE PHARM D (PRESIDENT)
(724) 774-0919
Entity
Organization
Contact information
Practice address
601 3RD ST, BEAVER, PA 15009-2115
(724) 774-0919
(724) 774-5070
Mailing address
601 3RD ST, BEAVER, PA 15009-2115
(724) 774-0919
(724) 774-5070
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481683
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018634040001
—
PA
01
—
2081763
PK
—
Enumeration date
02/02/2007
Last updated
01/11/2016
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