Bloss Pharmacy Inc

NPI 1083619415 - Pharmacy - 3336C0003X

NPI Details
NPI 1083619415
Enumeration Date 06/13/2005
Last Updated 06/16/2016
Entity Type Healthcare Provider
Active Over 13 years ago
Authorized Information
Name PATRICK PATRICK
Position OWNER/PIC
Phone (570) 638-2820
Fax (570) 638-3642
Practice Location
2 RIVERSIDE PLZ
BLOSSBURG PA, 16912-1137, US
Phone (570) 638-2820
Fax (570) 638-3642
Business Location
2 RIVERSIDE PLZ
BLOSSBURG PA, 16912-1137, US
Phone (570) 638-2820
Fax (570) 638-3642
Toxanomy
Taxonomy Code 3336C0003X
License State Pennsylvania
License Number PP411873L
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According to our database, Bloss Pharmacy Inc NPI is 1083619415, taxonomy code is 3336C0003X and license number is PP411873L, license state is located at Pennsylvania. Bloss Pharmacy Inc physically located at 2 Riverside Plz, Blossburg PA, 16912-1137. NPI Number 1033115704 has the healthcare provider type.

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1083619415 NPI number is provided on an as is basis without warranty of any kind. 1083619415 is maintained by the National Plan & Provider Enumeration System. The contents of Bloss Pharmacy Inc are for informational purposes only.