Organization
THE MEDICINE MINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERIE L ANGELINI (SECT.TREAS)
(724) 966-5237
Entity
Organization
Contact information
Practice address
555 ROUTE 88, CARMICHAELS, PA 15320-1173
(724) 966-5237
Mailing address
555 ROUTE 88, CARMICHAELS, PA 15320-1173
(724) 966-5237
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP412532L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009093640002
—
PA
Enumeration date
12/14/2006
Last updated
09/10/2008
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