Provider Demographics
NPI:1982250460
Name:PHARM-ASSIST INC
Entity Type:Organization
Organization Name:PHARM-ASSIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MAX
Authorized Official - Last Name:FAUST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-684-0230
Mailing Address - Street 1:1256 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686-1618
Mailing Address - Country:US
Mailing Address - Phone:814-684-0230
Mailing Address - Fax:814-684-0845
Practice Address - Street 1:1256 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:TYRONE
Practice Address - State:PA
Practice Address - Zip Code:16686-1618
Practice Address - Country:US
Practice Address - Phone:814-684-0230
Practice Address - Fax:814-684-0845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy