Organization
SHAFER DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD F. ZABLOTNEY R.PH. (OWNER)
(814) 467-4200
Entity
Organization
Contact information
Practice address
1328 GRAHAM AVE, WINDBER, PA 15963-1708
(814) 467-4200
(814) 467-7412
Mailing address
1328 GRAHAM AVE, WINDBER, PA 15963-1708
(814) 467-4200
(814) 467-7412
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP412249L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005846520001
—
PA
01
—
3928150
NCPDP NUMBER
PA
Enumeration date
01/27/2007
Last updated
06/16/2008
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