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Organization

SCHRODER FANZO INC

Active
Other names
Medicine Shoppe
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN K FANZO RPH (OWNER PHARMACIST)
(717) 247-2844
Entity
Organization

Contact information

Practice address
129 S MAIN ST, LEWISTOWN, PA 17044-2120
(717) 247-2844
(717) 247-2845
Mailing address
129 S MAIN ST, LEWISTOWN, PA 17044-2120

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP415646L
PA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017970480001
PA
01
3977329
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
10/03/2006
Last updated
03/07/2023
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