Organization
NOCCHIS PHARMACY LLC
Active
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
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