NPI 1366780405 · live from the CMS NPI Registry
Altoona Union Avenue Pharmacy
Pharmacy, Community/Retail Pharmacy in Altoona, PA. National Provider Identifier 1366780405, active.
NPI record
| NPI | 1366780405 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 2411 8th Ave, Altoona, PA 16602 |
| Practice phone | 814-944-2095 |
| Enumerated | January 24, 2013 |
| Last updated | February 19, 2013 |
| Authorized official | William Earnest, President |
| Other names | The Medicine Shoppe |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PP410789L (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.