Organization
D&S HAULMAN ENTERPRISES LLC
Active
Other names
Mountain View Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAULMAN (OWNER/MANAGER)
(570) 748-3196
Entity
Organization
Contact information
Practice address
144 4TH ST, RENOVO, PA 17764-1071
(570) 923-1922
Mailing address
144 4TH ST, RENOVO, PA 17764-1071
(570) 923-1922
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481941
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121724
PK
—
Enumeration date
08/26/2009
Last updated
01/28/2014
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