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Organization
HYDE DRUG, L.L.C.
Active
Organization
HYDE DRUG, L.L.C.
Active
Parent organization
HYDE DRUG, L.L.C.
Other names
Hyde Drug LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HYDE DRUG, L.L.C.
Authorized official
DR. SPERO STEFANIS PHARMD (VICE PRESIDENT)
(724) 652-1451
Entity
Organization
Contact information
Practice address
2412 WILMINGTON RD STE B, NEW CASTLE, PA 16105-1939
(724) 652-1451
(724) 657-0592
Mailing address
2412 WILMINGTON RD STE B, NEW CASTLE, PA 16105-1939
(724) 652-1451
(724) 657-0592
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101031050004
—
PA
Enumeration date
06/15/2023
Last updated
06/15/2023
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