Organization
MENA LLC
Active
Organization
MENA LLC
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DIPAK PATEL (PRESIDENT/OWNER)
(610) 858-5792
Entity
Organization
Contact information
Practice address
101 W LANCASTER AVE, SHILLINGTON, PA 19607-1857
(610) 777-2313
(610) 777-2319
Mailing address
101 W LANCASTER AVE, SHILLINGTON, PA 19607-1857
(610) 777-2313
(610) 777-2319
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482411
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028904600001
—
PA
01
—
2143323
PK
—
Enumeration date
12/06/2013
Last updated
11/10/2016
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