Organization
SHEA ENTERPRISES
Active
Other names
Charlie's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SHEA (PRESIDENT)
(215) 269-7000
Entity
Organization
Contact information
Practice address
2235 VETERANS HWY, LEVITTOWN, PA 19056-3001
(215) 269-7000
(215) 269-7001
Mailing address
2235 VETERANS HWY, LEVITTOWN, PA 19056-3001
(215) 269-7000
(215) 269-7001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482634
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159436
PK
—
Enumeration date
01/18/2016
Last updated
06/02/2016
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