Organization · Type 2 NPI

Southern Tier Community Health Center Network Inc

Community/Retail Pharmacy · Bradford, PA

NPI number 1063319903 Active

Practice location

110 Campus Dr Rm P
Bradford, PA 16701-1982

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

Other community/retail pharmacy providers in Bradford

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NPI record

NPI: 1063319903
Entity type: Organization (Type 2)
Issued: Oct 23, 2026
Last updated: Oct 23, 2026
Status: Active
Subpart: Yes of Southern Tier Community Health Center Network Inc

Other names

Upc Community Pharmacy - Bradford · doing business as

Authorized official

Eric B. Blake
Chief Compliance Officer
(740) 452-7685

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063319903

Southern Tier Community Health Center Network Inc's National Provider Identifier is 1063319903, issued on Oct 23, 2026. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Bradford, PA. The record was last updated on Oct 23, 2026.