Healthcare Provider Details

I. General information

NPI: 1053388470
Provider Name (Legal Business Name): PHARM-ASSIST INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2827 EARLYSTOWN RD STE 1
CENTRE HALL PA
16828-9108
US

IV. Provider business mailing address

1256 PENNSYLVANIA AVE
TYRONE PA
16686-1618
US

V. Phone/Fax

Practice location:
  • Phone: 814-466-7936
  • Fax: 814-466-7825
Mailing address:
  • Phone: 814-466-7936
  • Fax: 814-466-7825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP412255L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM FAUST
Title or Position: OWNER
Credential:
Phone: 814-466-7936