Organization · Type 2 NPI
Kiski Valley Community Medicine
Non-Pharmacy Dispensing Site · Apollo, PA
NPI number
1417274473
Active
Practice location
310 S 2nd St
Apollo, PA 15613-1150
Mailing address
5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | OS008135 (PA) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
2 other providers at this address
About NPI 1417274473
Kiski Valley Community Medicine's National Provider Identifier is 1417274473, issued on Apr 29, 2010. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Apollo, PA. The record was last updated on Oct 23, 2012.