Whalio Doctors

NPI 1003189838

Conemaugh Health Initiatives

Organisation Non-Pharmacy Dispensing Site Jennerstown, PA

Practice location

Address
1609 W. Pitt St, Jennerstown, PA 15547
Phone
(814) 629-5647
Mailing address
5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705

Authorised official

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

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence MD440560 (PA)

Registry record

NPI
1003189838
Entity type
Organization
NPI issued
9 Feb 2012
Record last updated
25 Apr 2013

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.