Organization
FAMILY PHARMACY OF MOSCOW INC
Active
Other names
Family Pharmacy of Moscow
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS DOUGHERTY (PRESIDENT)
(570) 499-1900
Entity
Organization
Contact information
Practice address
330 N MAIN ST STE 202, MOSCOW, PA 18444-9003
(570) 843-6369
(570) 843-6351
Mailing address
330 N MAIN ST, SUITE 202, MOSCOW, PA 18444-9003
(570) 843-6369
(570) 843-6351
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482250
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3996975
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/13/2012
Last updated
03/30/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us