Healthcare Provider Details

I. General information

NPI: 1689688491
Provider Name (Legal Business Name): BILO PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROUTE 255 SANDY PLAZA
DUBOIS PA
15801
US

IV. Provider business mailing address

ROUTE 255 SANDY PLAZA
DUBOIS PA
15801
US

V. Phone/Fax

Practice location:
  • Phone: 814-375-3723
  • Fax: 814-371-0457
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP414747L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES ERBA
Title or Position: PHARMACY SYSTEMS MANAGER
Credential: RPH
Phone: 315-461-2595