Organization
MINNICH'S PHARMACY INC
Active
Parent organization
MINNICH'S PHARMACY INC
Other names
Medicine Shoppe York
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNICH'S PHARMACY INC
Authorized official
MR. DERON E. SHULTZ R.P.H. (CEO)
(717) 848-2312
Entity
Organization
Contact information
Practice address
1698 S.QUEEN ST., YORK, PA 17403
(717) 846-0500
(717) 845-8767
Mailing address
1698 S.QUEEN ST., YORK, PA 17403
(717) 846-0500
(717) 845-8767
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP412564L
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PP412564L
PA
333600000X
Pharmacy
PP412564L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
PP412564L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008749690001
—
PA
01
—
3961794
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
02/16/2024
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