Organization
SPARTANSBURG PHARMACY LLC
Active
Other names
Spartansburg Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLEEN HAJEC (OWNER/PHARMACY MANAGER)
(814) 654-2333
Entity
Organization
Contact information
Practice address
317 MAIN ST, SPARTANSBURG, PA 16434-1057
(814) 654-2333
(814) 654-2334
Mailing address
317 MAIN STREET, SPARTANSBURG, PA 16434
(814) 654-2333
(814) 654-2334
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482257
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3997460
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/01/2012
Last updated
06/06/2012
About Stedi
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