Healthcare Provider Details

I. General information

NPI: 1679567200
Provider Name (Legal Business Name): US COMPLETE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 RAILROAD ST
ST MARYS PA
15857-1729
US

IV. Provider business mailing address

10 RAILROAD ST
ST MARYS PA
15857-1729
US

V. Phone/Fax

Practice location:
  • Phone: 814-781-3192
  • Fax: 814-781-3192
Mailing address:
  • Phone: 814-781-3192
  • Fax: 814-781-3192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP414576L
License Number StatePA

VIII. Authorized Official

Name: MR. FRANCIS XAVIER STRAUB III
Title or Position: PRESIDENT
Credential: RPH
Phone: 814-781-3192