Organization
WESCLARE CORPORATION
Active
Other names
Nickman's Drug #109
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES WESLEY NICKMAN JR. (PRESIDENT)
(724) 437-2144
Entity
Organization
Contact information
Practice address
3 NICKMAN PLZ, LEMONT FURNACE, PA 15456-9732
(724) 437-2144
(724) 437-8303
Mailing address
3 NICKMAN PLZ, LEMONT FURNACE, PA 15456-9732
(724) 437-2144
(724) 437-8303
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP413604L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018740940005
—
PA
01
—
3930167
NCPDP
PA
01
—
PP413604L
STATE LICENSE
PA
Enumeration date
07/09/2006
Last updated
03/07/2023
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