# SULCO RX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dushore Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295590529
- **Authorized official:** MELISSA KELLER PHARMD (OWNER)
- **Authorized official phone:** (570) 928-8010

## Contact information

- **Practice address:** 220 S GERMAN ST, DUSHORE, PA 18614-7891
- **Practice address phone:** (570) 928-8010
- **Practice address fax:** (570) 928-7036
- **Mailing address:** PO BOX 314, DUSHORE, PA 18614-0314
- **Mailing address phone:** (570) 928-8010
- **Mailing address fax:** (570) 928-7036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/15/2024
- **Last updated:** 02/15/2024