Organization
MENA LLC
Active
Other names
The Medicine Shoppe Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
DIPAK PATEL (OWNER)
(610) 777-2313
Entity
Organization
Contact information
Practice address
101 W LANCASTER AVE, READING, PA 19607-1804
(610) 858-5792
(610) 858-5792
Mailing address
101 W LANCASTER AVE, READING, PA 19607-1804
(610) 858-5792
(610) 858-5792
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028904600001
—
PA
Enumeration date
02/03/2020
Last updated
10/15/2020
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