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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