Organization
JOSEPH C LAURICELLA
Active
Organization
JOSEPH C LAURICELLA
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH C LAURICELLA R.PH. (PHARMACIST)
(570) 454-9608
Entity
Organization
Contact information
Practice address
1101 W 15TH ST, HAZLETON, PA 18201-2616
(570) 454-9608
(570) 454-5252
Mailing address
1101 W 15TH ST, HAZLETON, PA 18201-2616
(570) 454-9608
(570) 454-5252
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP4128671
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP412867L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014542220001
—
PA
01
—
3943885
NCPDP
PA
Enumeration date
02/21/2006
Last updated
03/07/2023
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