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Organization

CREVAR INC

Active
Other names
THE MEDICINE SHOPPE
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID CREVAR RPH (OWNER AND MANAGER)
(412) 233-3303
Entity
Organization

Contact information

Practice address
645 MILLER AVE, CLAIRTON, PA 15025-1438
(412) 233-3303
(412) 233-4664
Mailing address
645 MILLER AVE, CLAIRTON, PA 15025-1438

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP413733L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010280150001
PA
01
3947972
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
08/31/2006
Last updated
01/08/2009
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