Organization
EVERETT PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY S MCCAHAN RPH (PRESIDENT PHARMACIST)
(814) 652-6745
Entity
Organization
Contact information
Practice address
108 E MAIN ST, EVERETT, PA 15537-1292
(814) 652-5532
(814) 652-2927
Mailing address
108 E MAIN ST, EVERETT, PA 15537-1292
(814) 652-5532
(814) 652-2927
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP410712L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007282180003
—
PA
01
—
3900289
NABP NCPTP
PA
Enumeration date
07/07/2006
Last updated
08/22/2020
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