Organization
DUBOIS REGIONAL MEDICAL CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands DuBois, Penn Highlands Specialty Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
MICHELLE BENNETT (RETAIL PHARMACY DIRECTOR)
(814) 299-7553
Entity
Organization
Contact information
Practice address
720 S MAIN ST, DU BOIS, PA 15801-1194
(814) 299-7553
Mailing address
621 S MAIN ST, DU BOIS, PA 15801-1413
(814) 503-7006
(814) 379-1232
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774088
—
PA
Enumeration date
03/22/2024
Last updated
02/21/2025
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