Whalio Doctors

NPI 1013316553

UPMC Community Medicine

Organisation Non-Pharmacy Dispensing Site Conneaut Lake, PA

Practice location

Address
11065 State Highway 18 Suite 1, Conneaut Lake, PA 16316-3569
Phone
(814) 382-6550
Mailing address
5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705

Authorised official

Name
Kenny Heine
Title
Vp of Operations
Phone
(858) 964-1506

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence OS012755 (PA)

Registry record

NPI
1013316553
Entity type
Organization
NPI issued
21 Aug 2014
Record last updated
21 Aug 2014

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.