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Organization

NOCCHIS PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL LACEY RPH (PRES)
(570) 636-2520
Entity
Organization

Contact information

Practice address
500 CENTRE ST, FREELAND, PA 18224-1902
(570) 636-2520
(570) 636-1862
Mailing address
500 CENTRE ST, FREELAND, PA 18224-1902
(570) 636-2520
(570) 636-1862

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP412744L
PA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014967230001
PA
01
3943405
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
10/20/2006
Last updated
07/05/2010
About Stedi
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Product
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  • Eligibility checks
  • EDI platform