# JEFFREYS DRUG STORE LTC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831102086
- **Authorized official:** MRS. GERMAINE ANN ZUBRITSKY RPH (PHARMACIST)
- **Authorized official phone:** (724) 745-6078

## Contact information

- **Practice address:** 1 N CENTRAL AVE STE 1, CANONSBURG, PA 15317-1301
- **Practice address phone:** (724) 745-6078
- **Practice address fax:** (724) 745-8818
- **Mailing address:** 1 N CENTRAL AVE STE 1, CANONSBURG, PA 15317-1301
- **Mailing address phone:** (724) 745-6078
- **Mailing address fax:** (724) 745-8818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PP481350 | PA | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 02/03/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1010028080001 | — | PA |