The Shepherds Health Mart Pharmacy

NPI 1003999053 - Pharmacy - 3336C0003X

NPI Details
NPI 1003999053
Enumeration Date 10/23/2006
Last Updated 02/08/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANGELA ANGELA
Position PROPRIETOR
Phone (570) 897-7437
Fax (570) 897-2514
Practice Location
415 DELAWARE AVE
PORTLAND PA, 18351, US
Phone (570) 897-7437
Fax (570) 897-2514
Business Location
415 DELAWARE AVE
PORTLAND PA, 18351-0415, US
Phone (570) 897-7437
Fax (570) 897-2501
Toxanomy
Taxonomy Code 3336C0003X
License State Pennsylvania
License Number PP481605
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According to our database, The Shepherds Health Mart Pharmacy NPI is 1003999053, taxonomy code is 3336C0003X and license number is PP481605, license state is located at Pennsylvania. The Shepherds Health Mart Pharmacy physically located at 415 Delaware Ave, Portland PA, 18351. NPI Number 1033115704 has the healthcare provider type.

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1003999053 NPI number is provided on an as is basis without warranty of any kind. 1003999053 is maintained by the National Plan & Provider Enumeration System. The contents of The Shepherds Health Mart Pharmacy are for informational purposes only.