Organization
SHELLYS MEDICATION SERVICES, INC
Active
Other names
SHELLYS MEDICATION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
STANTON SPOON RPH BSC FASCP (VP MARKETING)
(215) 785-6616
Entity
Organization
Contact information
Practice address
2522 PEARL BUCK RD UNIT A, BRISTOL, PA 19007-6809
(218) 785-6616
(215) 781-6020
Mailing address
2522 PEARL BUCK RD, UNIT A, BRISTOL, PA 19007-6809
(218) 785-6616
(215) 781-6020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PP414479L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012553540003
—
PA
01
—
2080954
PK
—
Enumeration date
06/14/2006
Last updated
04/19/2013
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