UPMC Community Medicine
UPMC Community Medicine is a Non-Pharmacy Dispensing Site in Conneaut Lake, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.
- Licensed in
- PA
- In the registry since
- 2014
Practice location Address checks out
11065 State Highway 18 Ste 1Conneaut Lake, PA 16316-3569
Phone: (814) 382-6550
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence OS012755 (PA) |
|---|
Record details
| NPI number | 1013316553 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Medvantx, Inc |
| Authorized official | Kenny Heine — Vp Of Operations · (858) 964-1506 |
| Other names | Lakeside Family Medicine Conneaut Lake |
| NPI enumerated | August 21, 2014 |
| Last updated in NPPES | August 21, 2014 |
| Mailing address | 5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705 |