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NPI Code Detail

MEDICARE: RONALD J. MESSICK

MEDICARE: RONALD J. MESSICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies377IVIPA
23336L0003XLong Term Care PharmacyPP413276LPA
3333600000XPharmacyPP413276LPA
43336C0003XCommunity/Retail PharmacyPP413276LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710986484
Entity Type Code : Organization
Provider Name (Legal Business Name) : RONALD J. MESSICK
Provider Business Mailing Address
First Line : 322 3RD ST
Second Line :
City : CALIFORNIA
State : PA
Zip : 15419-1134
Country : US
Telephone Number : 724-938-2395
Fax Number : 724-938-8244
Provider Business Practice Location Address
First Line : 322 3RD ST
Second Line :
City : CALIFORNIA
State : PA
Zip : 15419-1134
Country : US
Telephone Number : 724-938-2395
Fax Number : 724-938-8244
Authorized Official
Title or Position : OWNER
Name : RONALD J MESSICK
Credential :
Telephone Number : 724-938-2395
Provider Enumeration Date : 07/15/2005
Last Update Date : 07/27/2015

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