Organization
HOFFMAN'S DRUG STORE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMANUEL N PANOS RPH (PRESIDENT)
(724) 375-4111
Entity
Organization
Contact information
Practice address
536 FRANKLIN AVE, ALIQUIPPA, PA 15001-3728
(724) 375-4111
(724) 375-9419
Mailing address
PO BOX 429, 536 FRANKLIN AVE, ALIQUIPPA, PA 15001-0429
(724) 375-4111
(724) 375-9419
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP411073L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007785880002
—
PA
01
—
3956250
NCPDP NUMBER
PA
Enumeration date
02/23/2007
Last updated
08/22/2020
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