Organization
HARCUM PHARMACY INC
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE LAMERTINA (PRESIDENT)
(412) 561-3180
Entity
Organization
Contact information
Practice address
524 BROOKLINE BLVD, PITTSBURGH, PA 15226-2002
(412) 561-3180
(412) 561-3188
Mailing address
524 BROOKLINE BLVD, PITTSBURGH, PA 15226-2002
(412) 561-3180
(412) 561-3188
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP415169L
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030009100001
—
PA
01
—
2151345
PK
—
Enumeration date
03/27/2015
Last updated
07/05/2016
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