Organization
CELLERARI PHARMACY INC
Active
Organization
CELLERARI PHARMACY INC
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JACK CELLERARI (CELLERARI)
(570) 498-6410
Entity
Organization
Contact information
Practice address
100 E GROVE ST, CLARKS SUMMIT, PA 18411-1750
(570) 586-1961
(570) 587-0319
Mailing address
100 E GROVE ST, CLARKS SUMMIT, PA 18411-1750
(570) 586-1961
(570) 587-0319
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP411526L
PA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029631550001
—
PA
01
—
2147024
PK
—
Enumeration date
04/01/2014
Last updated
11/07/2016
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