Organization
SHEELEY'S DRUG STORE INC
Active
Other names
Sheeley's Drug Store,Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LORI HART (RPH, PRES)
(570) 342-8936
Entity
Organization
Contact information
Practice address
539 LINDEN ST, SCRANTON, PA 18503-1605
(570) 342-8936
(570) 343-1455
Mailing address
539 LINDEN ST, SCRANTON, PA 18503-1605
(570) 342-8936
(570) 343-1455
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP412267L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130496
PK
—
Enumeration date
06/24/2005
Last updated
09/30/2016
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