Organization
PENN BEAVER PHARMACY INC
Active
Organization
PENN BEAVER PHARMACY INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
DENA FERMAN RPH (THIRD PARTY PLAN COORDINATOR)
(314) 993-6000
Entity
Organization
Contact information
Practice address
734 OHIO RIVER BLVD, ROCHESTER PLAZA, ROCHESTER, PA 15074-1413
(724) 728-7455
(724) 728-3717
Mailing address
734 OHIO RIVER BLVD, ROCHESTER PLAZA, ROCHESTER, PA 15074-1413
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP413982L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3954725
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/13/2006
Last updated
09/11/2025
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