Organization
SULCO RX, LLC
Active
Other names
DUSHORE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KELLER (OWNER)
(570) 244-8674
Entity
Organization
Contact information
Practice address
220 S GERMAN ST, DUSHORE, PA 18614-7891
(570) 928-8010
(570) 928-7036
Mailing address
PO BOX 314, DUSHORE, PA 18614-0314
(570) 928-8010
(570) 928-7036
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP413412L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012953870001
—
PA
05
—
1042121750001
—
PA
01
—
2081283
PK
—
Enumeration date
07/30/2006
Last updated
02/05/2026
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