Ickes Drug Store
NPI #1023178266 in Bedford, Pennsylvania
Provider Information
- NPI Number
- 1023178266
- Entity Type
- Organization
- Organization Name
- Ickes Drug Store
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Dec 21, 2016
Practice Location
- Address
- 122 S JULIANA ST
- City
- Bedford
- State
- Pennsylvania
- ZIP Code
- 15522-1301
- Phone
- (814) 623-5615
Authorized Official
- Name
- GARY ICKES
- Title
- OWNER
- Phone
- (814) 623-5615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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