Organization
THE DICKSON APOTHECARY LLC
Active
Organization
THE DICKSON APOTHECARY LLC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DICKSON RPH (OWNER PHARMACIST)
(570) 296-5138
Entity
Organization
Contact information
Practice address
105 WHEATFIELD DR, SUITE 2 PRIME TIME PLAZA, MILFORD, PA 18337
(570) 296-5138
(570) 296-5386
Mailing address
105 WHEATFIELD DR, SUITE 2 PRIME TIME PLAZA, MILFORD, PA 18337-7809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP481527
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014838170001
—
PA
01
—
3985376
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
03/07/2023
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