Organization
ALTOONA UNION AVENUE PHARMACY
Active
Other names
The Medicinne Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM EDWARD EARNEST RPH (PRESIDENT)
(814) 944-2095
Entity
Organization
Contact information
Practice address
2411 8TH AVE, ALTOONA, PA 16602-2105
(814) 944-2095
(814) 949-9575
Mailing address
2411 8TH AVE, ALTOONA, PA 16602-2105
(814) 944-2095
(814) 949-9575
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP410789L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009967710002
—
PA
01
—
3944623
NCPDP #
PA
Enumeration date
10/09/2006
Last updated
03/07/2023
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