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Organization
SHELLYS MEDICATION SERVICES, INC
Active
Organization
SHELLYS MEDICATION SERVICES, INC
Active
Other names
SHELLYS MEDICATION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
STANTON SPOON RPH BSC FASCP (VP MARKETING)
(215) 785-6616
Entity
Organization
Contact information
Practice address
2522 PEARL BUCK RD UNIT A, BRISTOL, PA 19007-6809
(218) 785-6616
(215) 781-6020
Mailing address
2522 PEARL BUCK RD, UNIT A, BRISTOL, PA 19007-6809
(218) 785-6616
(215) 781-6020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PP414479L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012553540003
—
PA
01
—
2080954
PK
—
Enumeration date
06/14/2006
Last updated
04/19/2013
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