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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