Family Medical Care of Lawrence County

NPI #1063554699 in New Wilmington, Pennsylvania

Provider Information

NPI Number
1063554699
Entity Type
Organization
Organization Name
Family Medical Care of Lawrence County
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Feb 12, 2007
Last Updated
Oct 17, 2012

Practice Location

Address
150 N NEW CASTLE ST
ZIP Code
16142-1019
Phone
(724) 946-3564

Authorized Official

Name
KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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