Organization
A GRECO 1 INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO GRECO (PRES)
(570) 655-4007
Entity
Organization
Contact information
Practice address
201 S MAIN ST, PITTSTON, PA 18640-1621
(570) 655-4007
(570) 602-9191
Mailing address
201 S MAIN ST, PITTSTON, PA 18640-1621
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481039
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018810160001
—
PA
01
—
3979157
NCPDP #
PA
01
—
3979157
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
03/07/2023
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