Organization
KARA ANN INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
SAM CAPONE RPH (OWNER)
(570) 654-0202
Entity
Organization
Contact information
Practice address
1701 WYOMING AVE, EXETER, PA 18643-1491
(570) 654-0202
(570) 654-1313
Mailing address
1701 WYOMING AVE, EXETER, PA 18643-1491
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP415373L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016815800001
—
PA
01
—
3973953
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
12/16/2008
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