Mainline Cpl, LLC
NPI #1124117312 in Cresson, Pennsylvania
Provider Information
- NPI Number
- 1124117312
- Entity Type
- Organization
- Organization Name
- Mainline Cpl, LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Oct 12, 2006
- Last Updated
- Apr 21, 2022
Practice Location
- Address
- 1207 SECOND STREET
- City
- Cresson
- State
- Pennsylvania
- ZIP Code
- 16630-1147
- Phone
- (814) 886-5667
Authorized Official
- Name
- MR. STEVEN JOSEPH DECRISCIO
- Title
- CFO
- Phone
- (814) 408-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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