Organization
JANICE E OLCESE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE ELLEN OLCESE RPH (OWNER/PHARMACIST)
(570) 648-7891
Entity
Organization
Contact information
Practice address
400 W SPRUCE ST, SHAMOKIN, PA 17872-5716
(570) 648-7891
(570) 648-2007
Mailing address
400 W SPRUCE ST, SHAMOKIN, PA 17872-5716
(570) 648-7891
(570) 648-2007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
PA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015542460002
—
PA
Enumeration date
12/23/2005
Last updated
04/10/2020
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