Mainline Pharmacy Ebensburg LLC

NPI #1184993040 in Ebensburg, Pennsylvania

Provider Information

NPI Number
1184993040
Entity Type
Organization
Organization Name
Mainline Pharmacy Ebensburg LLC
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Dec 22, 2011
Last Updated
Apr 26, 2022

Practice Location

Address
3720 NEW GERMANY RD
ZIP Code
15931-1862
Phone
(814) 472-9390

Authorized Official

Name
STEVEN JOSEPH DECRISCIO
Title
CFO
Phone
(814) 408-6800

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Health Educator
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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