Organization
MADJAK INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT S BILSKI JR. RPH (RPH)
(570) 457-3372
Entity
Organization
Contact information
Practice address
730 S MAIN ST, OLD FORGE, PA 18518-1459
(570) 457-3372
(570) 457-2679
Mailing address
730 S MAIN ST, OLD FORGE, PA 18518-1459
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP415319L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016612640002
—
PA
01
—
3973410
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/23/2007
Last updated
03/07/2023
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