Organization
CARUSO DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUTOINETTE ASTORI CARUSO (PRESIDENT)
(814) 275-1156
Entity
Organization
Contact information
Practice address
323 BROAD ST, NEW BETHLEHEM, PA 16242-1003
(814) 275-1156
(814) 275-4798
Mailing address
323 BROAD ST, NEW BETHLEHEM, PA 16242-1003
(814) 275-1156
(814) 275-4798
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP412141L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009276020001
—
PA
Enumeration date
11/11/2005
Last updated
08/22/2020
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