Organization
MEDICINE SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GUINN (BILLING SPEC)
(314) 993-6000
Entity
Organization
Contact information
Practice address
68 FRALEY ST, KANE, PA 16735-1325
(814) 837-2950
(814) 837-2954
Mailing address
68 FRALEY ST, KANE, PA 16735-1325
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP415682L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3977696
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
09/11/2025
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