Organization
MEDICINE SHOPPE OF KITTANNING
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGIL DAVIS RPH (OWNER PHARMACIST)
(724) 545-7350
Entity
Organization
Contact information
Practice address
262 S WATER ST, KITTANNING, PA 16201-2451
(724) 545-7350
(724) 545-7352
Mailing address
262 S WATER ST, KITTANNING, PA 16201-2451
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP413839L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011831570001
—
PA
01
—
3959333
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
03/07/2023
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