Provider Demographics
NPI:1497800593
Name:GATHAGAN INVESTMENT COMPANY LP
Entity Type:Organization
Organization Name:GATHAGAN INVESTMENT COMPANY LP
Other - Org Name:CITY DRUGS OF CURWENSVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GATHAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-236-1820
Mailing Address - Street 1:360 THOMPSON ST
Mailing Address - Street 2:
Mailing Address - City:CURWENSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16833-1131
Mailing Address - Country:US
Mailing Address - Phone:814-236-1820
Mailing Address - Fax:814-236-9096
Practice Address - Street 1:360 THOMPSON ST
Practice Address - Street 2:
Practice Address - City:CURWENSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16833-1131
Practice Address - Country:US
Practice Address - Phone:814-236-1820
Practice Address - Fax:814-236-9096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001826883002Medicaid
PA001826883002Medicaid