Ccp Retail LLC
NPI #1750469904 in State College, Pennsylvania
Provider Information
- NPI Number
- 1750469904
- Entity Type
- Organization
- Organization Name
- Ccp Retail LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 320 ROLLING RIDGE DRIVE
- City
- State College
- State
- Pennsylvania
- ZIP Code
- 16801
- Phone
- (814) 272-2480
Authorized Official
- Name
- MR. JAMES M MESSINA
- Title
- PRESIDENT/CEO
- Phone
- (570) 271-7285
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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