Organization
SANDTS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GROBLEWSKI (OWNER)
(610) 863-5535
Entity
Organization
Contact information
Practice address
RT 209 MONROE PLAZA, BRODHEADSVILLE, PA 18322
(570) 992-4112
(570) 992-3618
Mailing address
6 W PENNSYLVANIA AVE, PEN ARGYL, PA 18072-2003
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP413400L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3949267
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
08/22/2020
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