Pennsylvania Cvs Pharmacy, L.l.c.
NPI #1104923606 in Jersey Shore, Pennsylvania
Provider Information
- NPI Number
- 1104923606
- Entity Type
- Organization
- Organization Name
- Pennsylvania Cvs Pharmacy, L.l.c.
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 19, 2006
- Last Updated
- Sep 15, 2014
Practice Location
- Address
- 1321 ALLEGHENY ST
- City
- Jersey Shore
- State
- Pennsylvania
- ZIP Code
- 17740-1113
- Phone
- (570) 398-9862
Authorized Official
- Name
- SUSAN F. COLBERT
- Title
- DIRECTOR
- Phone
- (401) 765-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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