Organization
SPAN & TAYLOR DRUG CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER FRANCIS MARCHEWKA (PHARMACIST)
(724) 258-4545
Entity
Organization
Contact information
Practice address
175 W MAIN ST, MONONGAHELA, PA 15063-2305
(724) 258-4545
Mailing address
175 W MAIN ST, MONONGAHELA, PA 15063-2305
(724) 258-4545
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP412352L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012381660001
—
PA
Enumeration date
08/20/2006
Last updated
01/13/2021
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