Organization
MEDICINE SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE GRIFFIN RPH (OWNER PHARMACIST)
(724) 752-9101
Entity
Organization
Contact information
Practice address
920 LAWRENCE AVE, ELLWOOD CITY, PA 16117-1850
(724) 752-9101
(724) 758-5070
Mailing address
920 LAWRENCE AVE, ELLWOOD CITY, PA 16117-1850
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP414507L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012541500001
—
PA
01
—
3963205
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
03/07/2023
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