Provider Demographics
NPI:1336902253
Name:DUNCANSVILLE PHARMACY INC
Entity Type:Organization
Organization Name:DUNCANSVILLE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:DICK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:814-695-8065
Mailing Address - Street 1:PO BOX 126
Mailing Address - Street 2:
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-0126
Mailing Address - Country:US
Mailing Address - Phone:814-695-8065
Mailing Address - Fax:814-693-2770
Practice Address - Street 1:1328 3RD AVE
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-1247
Practice Address - Country:US
Practice Address - Phone:814-695-8065
Practice Address - Fax:814-693-2770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy