Organization
PERRY DRUG STORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD PIRILLA JR. RPH (OWNER/PIC)
(724) 736-4422
Entity
Organization
Contact information
Practice address
301 INDEPENDENCE ST, PERRYOPOLIS, PA 15473-5326
(724) 736-4422
(724) 736-0715
Mailing address
PO BOX 314, PERRYOPOLIS, PA 15473-0314
(724) 736-4422
(724) 736-4422
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030934090001
—
PA
Enumeration date
04/06/2021
Last updated
04/06/2021
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