Organization
VERMILYA'S PHARMACIES INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
DENA FERMAN (THIRD PARTY PLAN COORDINATOR)
(314) 993-6000
Entity
Organization
Contact information
Practice address
400 JEFFERSON AVE, WASHINGTON, PA 15301-4261
(724) 222-0900
(724) 222-3429
Mailing address
400 JEFFERSON AVE, WASHINGTON, PA 15301-4261
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP410749L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018163400001
—
PA
01
—
3937096
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
03/07/2023
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