Organization
CREVAR INC
Active
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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