Provider Demographics
NPI:1083269310
Name:RP-PRN INC
Entity Type:Organization
Organization Name:RP-PRN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:MAHER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:814-674-3693
Mailing Address - Street 1:PO BOX 45
Mailing Address - Street 2:
Mailing Address - City:PATTON
Mailing Address - State:PA
Mailing Address - Zip Code:16668-0045
Mailing Address - Country:US
Mailing Address - Phone:814-674-3693
Mailing Address - Fax:814-674-5446
Practice Address - Street 1:503 RAILROAD AVE STE 2
Practice Address - Street 2:
Practice Address - City:PATTON
Practice Address - State:PA
Practice Address - Zip Code:16668-1342
Practice Address - Country:US
Practice Address - Phone:814-674-3693
Practice Address - Fax:814-674-5446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy