Organization
WALLIER INC
Active
Other names
SHARON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRETTON WALBERG (OWNER/RPH)
(724) 612-2131
Entity
Organization
Contact information
Practice address
63 PITT ST STE 102, SHARON, PA 16146-2102
(724) 347-7000
(724) 347-7007
Mailing address
343 MERCER RD, GREENVILLE, PA 16125-9773
(724) 885-0310
(724) 885-0330
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023240290001
—
PA
01
—
3992307
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/01/2009
Last updated
06/09/2022
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