Organization
MICHAEL J BRISLIN
Active
Other names
THE MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRISLIN RPH (OWNER PHARMACIST)
(570) 346-2935
Entity
Organization
Contact information
Practice address
953 PRESCOTT AVE, SCRANTON, PA 18510-1411
(570) 346-2935
(570) 207-4767
Mailing address
953 PRESCOTT AVE, SCRANTON, PA 18510-1411
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP413264L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008873920002
—
PA
01
—
3945079
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
03/07/2023
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