Penn Traffic Co
NPI #1629099940 in Du Bois, Pennsylvania
Provider Information
- NPI Number
- 1629099940
- Entity Type
- Organization
- Organization Name
- Penn Traffic Co
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 21, 2006
- Last Updated
- Feb 10, 2010
Practice Location
- Address
- 100 N MAIN ST
- City
- Du Bois
- State
- Pennsylvania
- ZIP Code
- 15801-1888
- Phone
- (814) 371-9000
Authorized Official
- Name
- DANIEL J MAHONEY, ESQ.
- Title
- SVP/GENERAL COUNSEL
- Phone
- (315) 461-2347
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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