Organization
TABLETT INC
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS A BRADLEY RPH (PRESIDENT)
(570) 648-5242
Entity
Organization
Contact information
Practice address
605 N SHAMOKIN ST, SHAMOKIN, PA 17872
(570) 648-5242
(570) 648-3606
Mailing address
605 N SHAMOKIN ST, SHAMOKIN, PA 17872
(570) 648-5242
(570) 648-3606
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP414448L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012368040001
—
PA
01
—
3962378
NCPDP #
PA
Enumeration date
12/29/2005
Last updated
03/07/2023
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