Organization
HCBR LLC TENTH STREET PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHERIE J MASSARO (OWNER/R.PH)
(412) 559-6598
Entity
Organization
Contact information
Practice address
938 FALLOWFIELD AVE, CHARLEROI, PA 15022-2104
(724) 483-5302
(724) 483-2210
Mailing address
938 FALLOWFIELD AVE, CHARLEROI, PA 15022-2104
(724) 483-5302
(724) 483-2210
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP412999L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3916004
NCPDP NUMBER
—
01
—
PP412999L
STATE PERMIT
PA
Enumeration date
08/25/2006
Last updated
03/07/2023
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