Organization
DONEGAL PHARMACY INC
Active
Other names
Donegal Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK H SHAFFER JR. (PHARMACIST / VICE PRESIDENT)
(724) 593-2502
Entity
Organization
Contact information
Practice address
181 MAIN STREET, DONEGAL, PA 15628
(724) 593-2502
(724) 593-7000
Mailing address
PO BOX 159, DONEGAL, PA 15628-0159
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP412746L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030370340001
—
PA
01
—
3942720
NABP
PA
01
—
PP412746L
PA STATE LISENCE
PA
Enumeration date
07/20/2006
Last updated
06/09/2022
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