Organization
WESCLARE CORPORATION
Active
Parent organization
WESCLARE CORPORATION
Other names
Nickman's Drug, Nickman's Drug #139
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESCLARE CORPORATION
Authorized official
MR. JAMES WESLEY NICKMAN JR. (PRESIDENT)
(724) 437-2144
Entity
Organization
Contact information
Practice address
1878 MCCLELLANDTOWN RD, MASONTOWN, PA 15461-2508
(724) 952-1040
(724) 952-1044
Mailing address
3 NICKMAN PLZ, LEMONT FURNACE, PA 15456-9732
(724) 437-2144
(724) 437-8303
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018740940003
—
PA
Enumeration date
02/20/2013
Last updated
01/14/2020
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