Organization Name: | GAUGHNS DRUG STORE |
NPI Number: | 1013940600 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN SCOTT NEWTON (VICE PRESIDENT/OWNER) |
Mailing Address: | 348 Pennsylvania Ave W Warren |
State: | PA US |
Postal Code: | 163652424 |
Phone Number: | 8147232840 |
Fax Number: | 8147233830 |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 11/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PP410847L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |