# MENA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Medicine Shoppe Long Term Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639700156
- **Authorized official:** DIPAK PATEL (OWNER)
- **Authorized official phone:** (610) 777-2313

## Contact information

- **Practice address:** 101 W LANCASTER AVE, READING, PA 19607-1804
- **Practice address phone:** (610) 858-5792
- **Practice address fax:** (610) 858-5792
- **Mailing address:** 101 W LANCASTER AVE, READING, PA 19607-1804
- **Mailing address phone:** (610) 858-5792
- **Mailing address fax:** (610) 858-5792

## Taxonomy

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

## Other

- **Enumeration date:** 02/03/2020
- **Last updated:** 10/15/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1028904600001 | — | PA |
