Organization
SHURFINE PHARMACY WEIGLESTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BURNSIDE (PHARMACY MANAGER)
(717) 767-1482
Entity
Organization
Contact information
Practice address
3025 CARLISLE RD, DOVER, PA 17315-4509
(717) 767-1492
(717) 767-1963
Mailing address
3025 CARLISLE RD, DOVER, PA 17315-4509
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP415776L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1848844
—
PA
01
—
3979020
OTHER ID NUMBER
—
Enumeration date
09/21/2006
Last updated
08/31/2007
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