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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