# MEDICAL SHOPPE LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stephens Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639865884
- **Authorized official:** TODD J STEPHENS (COO)
- **Authorized official phone:** (570) 253-7700

## Contact information

- **Practice address:** 1101 MAIN ST, HONESDALE, PA 18431-1907
- **Practice address phone:** (570) 253-7700
- **Mailing address:** 1101 MAIN ST, HONESDALE, PA 18431-1907
- **Mailing address phone:** (570) 253-7700

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2023
- **Last updated:** 04/12/2023