Organization
JOHN D KEEGAN
Active
Other names
Hegihts Terrace Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DAVID KEEGAN R.PH. (OWNER/PHARMACIST)
(570) 454-8748
Entity
Organization
Contact information
Practice address
475 S POPLAR ST, HAZLETON, PA 18201-7732
(570) 454-8748
(570) 455-1113
Mailing address
475 S POPLAR ST, HAZLETON, PA 18201-7732
(570) 454-8748
(570) 455-1113
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP410030L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008817820001
—
PA
Enumeration date
10/07/2005
Last updated
12/20/2010
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