Organization
MEMAW INC
Active
Other names
North Shore Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DAVIS (OWNER)
(412) 298-3360
Entity
Organization
Contact information
Practice address
127 ANDERSON ST, PITTSBURGH, PA 15212-5803
(724) 494-7615
Mailing address
1314 7TH AVE, BEAVER FALLS, PA 15010-4217
(724) 384-0766
(724) 581-4809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102795668-0003
—
PA
Enumeration date
04/15/2019
Last updated
11/15/2022
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