Organization
HYDE DRUG, L.L.C.
Active
Organization
HYDE DRUG, L.L.C.
Active
Other names
Hyde Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE STEFANIS (PRESIDENT/CHIEF PHARMACIST)
(724) 652-1451
Entity
Organization
Contact information
Practice address
2412 WILMINGTON RD, NEW CASTLE, PA 16105-1939
(724) 652-1451
(724) 657-0159
Mailing address
2412 WILMINGTON RD, NEW CASTLE, PA 16105-1939
(724) 652-1451
(724) 657-0159
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP411112L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010310500001
—
PA
Enumeration date
08/31/2006
Last updated
03/06/2020
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