Organization
GLASSPORT PHARMACY LLC
Active
Other names
MEDICINE STOP
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC AMBER RPH (MANAGER)
(724) 366-7175
Entity
Organization
Contact information
Practice address
937 OHIO AVE, GLASSPORT, PA 15045-1634
(412) 678-9474
(412) 678-9497
Mailing address
937 OHIO AVE, GLASSPORT, PA 15045-1634
(412) 678-9474
(412) 678-9497
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP481316
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01976218
—
PA
01
—
3982558
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
12/06/2007
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