NPI 1003064924

North East Family Practice

Organisation Non-Pharmacy Dispensing Site North East, PA

Practice location

Address: 115 E Main St, North East, PA 16428-1330
Phone: (814) 725-8774
Mailing address: 5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705

Authorised official

Name: Kenny Heine
Title: Director of Operations
Phone: (858) 625-2990

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence OS006274L (PA)

Other Non-Pharmacy Dispensing Site providers in Pennsylvania →

Registry record

NPI: 1003064924
Entity type: Organization
NPI issued: 4 Sep 2008
Record last updated: 23 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.