Organization
MINERSVILLE PHARMACY, INC.
Active
Other names
Minersville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN KUSHWARRA R.PH. (MANAGER)
(570) 399-5488
Entity
Organization
Contact information
Practice address
106 SUNBURY ST, MINERSVILLE, PA 17954-1443
(570) 399-5488
(570) 399-5490
Mailing address
106 SUNBURY ST, MINERSVILLE, PA 17954-1443
(570) 399-5488
(570) 399-5490
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482314
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PP482314
STATE PHARMACY PERMIT
PA
Enumeration date
10/19/2012
Last updated
10/19/2012
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