Organization
WESCLARE CORPORATION
Active
Organization
WESCLARE CORPORATION
Active
Parent organization
WESCLARE CORPORATION
Other names
Nickman's Drug #129
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESCLARE CORPORATION
Authorized official
MR. JAMES WESLEY NICKMAN JR. (PRESIDENT)
(724) 437-2144
Entity
Organization
Contact information
Practice address
90 W CHURCH ST, FAIRCHANCE, PA 15436-1137
(724) 564-7817
(724) 564-5969
Mailing address
3 NICKMAN PLZ, LEMONT FURNACE, PA 15456-9732
(724) 437-2144
(724) 437-8303
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP410720L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018740940002
—
PA
Enumeration date
12/06/2006
Last updated
01/14/2020
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