Organization
DAKES DRUG STORE INC
Active
Other names
DAKE'S DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY HALPER RPH (OWNER)
(610) 667-1316
Entity
Organization
Contact information
Practice address
201 CITY AVE, MERION STATION, PA 19066-1803
(610) 667-1316
(610) 667-3305
Mailing address
201 CITY AVE, MERION STATION, PA 19066-1803
(610) 667-1316
(610) 667-3305
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP410527L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0572867
—
PA
01
—
2080056
PK
—
Enumeration date
09/21/2006
Last updated
03/30/2016
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