Medical Shoppe Ltd
Pharmacy in Honesdale, PA. Organization (NPI-2).
NPI number1982603189
StatusActive
Last updated in NPPESAug 24, 2007
Details
- NPI
- 1982603189
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Shoppe Ltd
- Organization subpart
- No
- Enumeration date
- Jul 19, 2005
- Last updated
- Aug 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PP414702L | PA | Yes |
Other names
- Stephens Pharmacy (Doing Business As)
Practice location
1101 Main StHonesdale, PA 18431-1907
Phone 570-253-7770 · Fax 570-251-7809
Mailing address
1101 Main St.Honesdale, PA 18431
Phone 570-253-7770 · Fax 570-251-7809
Authorized official
Judith A Stephens
President
5702537700
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