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Organization

SHAFERS PHARMACY LLC

Active
Other names
SHAFERS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
LEE SHAFER RPH (MEMBER PHARMACIST)
(570) 668-0290
Entity
Organization

Contact information

Practice address
408 E BROAD ST, TAMAQUA, PA 18252-2108
(570) 668-0290
(570) 668-2454
Mailing address
408 E BROAD ST, TAMAQUA, PA 18252-2108
(570) 668-0290
(570) 668-2454

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PP412251L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001928936001
PA
01
2080909
PK
Enumeration date
07/14/2006
Last updated
12/19/2022
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