# SHELLYS MEDICATION SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SHELLYS MEDICATION SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639112998
- **Authorized official:** STANTON SPOON RPH BSC FASCP (VP MARKETING)
- **Authorized official phone:** (215) 785-6616

## Contact information

- **Practice address:** 2522 PEARL BUCK RD UNIT A, BRISTOL, PA 19007-6809
- **Practice address phone:** (218) 785-6616
- **Practice address fax:** (215) 781-6020
- **Mailing address:** 2522 PEARL BUCK RD, UNIT A, BRISTOL, PA 19007-6809
- **Mailing address phone:** (218) 785-6616
- **Mailing address fax:** (215) 781-6020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PP414479L | PA | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 04/19/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0012553540003 | — | PA |
| 01 | — | 2080954 | PK | — |