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Organization

DAVID L & HENRIETTA F COLE

Active
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Organization

DAVID L & HENRIETTA F COLE

Active
Other names
The Medicine Shoppe
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID L COLE RPH (OWNER)
(610) 539-7282
Entity
Organization

Contact information

Practice address
2113 W MAIN ST, JEFFERSONVILLE, PA 19403-3005
(610) 539-7283
(610) 539-6430
Mailing address
2113 W MAIN ST, JEFFERSONVILLE, PA 19403-3005
(610) 539-7283
(610) 539-6430

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005637970002
PA
05
0185531
NJ
01
3936121
NCPDP #
PA
Enumeration date
11/09/2005
Last updated
03/07/2023
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