Organization
DORAL PHARMACEUTICALS LLC
Active
Organization
DORAL PHARMACEUTICALS LLC
Active
Other names
Kevin's Shop n Save Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRUDENCE EVANCIC (PRESIDENT)
(412) 561-2417
Entity
Organization
Contact information
Practice address
799 CASTLE SHANNON BLVD, PITTSBURGH, PA 15234-1601
(412) 561-2417
(412) 561-7418
Mailing address
799 CASTLE SHANNON BLVD, PITTSBURGH, PA 15234-1601
(412) 561-2417
(412) 561-7418
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP415072L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101647428001
—
PA
01
—
2083965
PK
—
Enumeration date
07/22/2006
Last updated
11/17/2023
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