Organization
WILLIAM KENNEDY
Active
Organization
WILLIAM KENNEDY
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C KENNEDY RPH (OWNER)
(570) 645-3588
Entity
Organization
Contact information
Practice address
28 W RIDGE ST, LANSFORD, PA 18232-1330
(570) 645-3588
(570) 645-7253
Mailing address
28 W RIDGE ST, LANSFORD, PA 18232-1330
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP415330L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007450860001
—
PA
01
—
3973496
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
03/07/2023
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