Organization
G A M S INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA VICTORIA TRAVLOS PHARM D (OWNER)
(724) 375-5561
Entity
Organization
Contact information
Practice address
2665 BRODHEAD RD, ALIQUIPPA, PA 15001-2723
(724) 375-5561
Mailing address
2665 BRODHEAD RD, ALIQUIPPA, PA 15001-2723
(724) 375-5561
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP411869L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001172583
—
PA
01
—
3958723
NCPDP #
PA
Enumeration date
09/16/2005
Last updated
03/07/2023
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