Organization
THE MEDICINE SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY G SMITH (OWNER)
(412) 257-4466
Entity
Organization
Contact information
Practice address
510 STATION ST, BRIDGEVILLE, PA 15017-2052
(412) 257-4466
Mailing address
510 STATION ST, BRIDGEVILLE, PA 15017-2052
(412) 257-4466
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP414005L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265047
—
PA
Enumeration date
12/07/2006
Last updated
08/22/2020
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