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Organization

PERRY DRUG STORE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEONARD J PIRILLA R PH (OWNER PRESIDENT)
(724) 736-4422
Entity
Organization

Contact information

Practice address
301 INDEPENDENCE ST, PERRYOPOLIS, PA 15473-5326
(724) 736-4422
(724) 736-0715
Mailing address
PO BOX 314, PERRYOPOLIS, PA 15473-0314
(724) 736-4422
(724) 736-0715

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP411854L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007112270001
PA
Enumeration date
09/12/2006
Last updated
05/19/2021
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