Organization
DEPIETRO ENTERPRISES LLC
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK A DEPIETRO RPH (OWNER)
(570) 842-7630
Entity
Organization
Contact information
Practice address
208 SOUTH MAIN ST, MOSCOW, PA 18444-9002
(570) 842-7630
(570) 842-2976
Mailing address
208 SOUTH MAIN ST, MOSCOW, PA 18444-9002
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP411130L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021768100001
—
PA
01
—
3990430
NCPDP
PA
Enumeration date
05/21/2008
Last updated
03/07/2023
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