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Organization

EVERLONG PHARMACY, L.L.P.

Active
Other names
Medicine Shoppe
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DINA BANAS RPH (OWNER)
(570) 281-6141
Entity
Organization

Contact information

Practice address
99 N CHURCH ST, CARBONDALE, PA 18407-2148
(570) 281-6141
(570) 281-3903
Mailing address
99 N CHURCH ST, CARBONDALE, PA 18407-2148
(570) 281-6141
(570) 281-3903

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP415529L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017548550001
PA
01
3975755
NCPDP #
PA
Enumeration date
09/27/2006
Last updated
03/07/2023
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