Organization
VERMILYA'S PHARMACIES INC
Active
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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