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Organization
SHADY MED INC
Active
Organization
SHADY MED INC
Active
Other names
AccuServ Pharmacy-PGH
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN SHEFFLER (PRESIDENT)
(412) 417-9861
Entity
Organization
Contact information
Practice address
5020 CENTRE AVE, PITTSBURGH, PA 15213
(412) 586-5410
(412) 586-5351
Mailing address
5020 CENTRE AVE, PITTSBURGH, PA 15213
(412) 586-5410
(412) 586-5351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PP414789L
PA
3336C0003X
Community/Retail Pharmacy
PP414789L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014239230003
—
PA
01
—
3967114
OTHER ID NUMBER
—
Enumeration date
11/15/2006
Last updated
01/22/2016
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