Organization
CTN INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NIDA RPH (OWNER PHARMACIST)
(724) 568-3691
Entity
Organization
Contact information
Practice address
701 HANCOCK AVE, VANDERGRIFT, PA 15690-1523
(724) 568-3691
Mailing address
701 HANCOCK AVE, VANDERGRIFT, PA 15690-1523
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP413967L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3954597
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/11/2007
Last updated
03/07/2023
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