Organization
DANERON LLC
Active
Other names
Rae's Pharmacy at Shop and Save
Organization subpart
No
Provider details
NPI number
Authorized official
NEREAH E WAKALA-NYENDE PHARM. D (OWNER/PHARMACIST)
(724) 438-7455
Entity
Organization
Contact information
Practice address
150 WALNUT HILL RD, UNIONTOWN, PA 15401-5090
(724) 438-7455
(724) 438-7450
Mailing address
150 WALNUT HILL RD, UNIONTOWN, PA 15401-5090
(724) 438-7455
(724) 438-7450
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481833
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102543900
—
PA
01
—
3994832
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/17/2010
Last updated
05/08/2025
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