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Organization
PROFESSIONAL SPECIALIZED PHARMACIES LLC
Active
Organization
PROFESSIONAL SPECIALIZED PHARMACIES LLC
Active
Other names
Hometown Pharmacy 03
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN NAIRN RPH (OWNER)
(412) 921-7731
Entity
Organization
Contact information
Practice address
2362 GOLDEN MILE HWY, PITTSBURGH, PA 15239-2710
(724) 387-2260
(724) 387-2261
Mailing address
2362 GOLDEN MILE HWY, PITTSBURGH, PA 15239-2710
(724) 387-2260
(724) 387-2261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PP481378
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100748860014
—
PA
Enumeration date
06/14/2006
Last updated
12/01/2011
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