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Organization

WESCLARE CORPORATION

Active
Parent organization
WESCLARE CORPORATION
Other names
Nickman's Drug #119
Organization subpart
Yes

Provider details

NPI number
Legal business name
WESCLARE CORPORATION
Authorized official
MR. JAMES WESLEY NICKMAN JR. (PRESIDENT)
(724) 437-2144
Entity
Organization

Contact information

Practice address
107 MEMORIAL BLVD, CONNELLSVILLE, PA 15425-2653
(724) 628-8125
(724) 628-5727
Mailing address
3 NICKMAN'S PLAZA, LEMONT FURNACE, PA 15456
(724) 437-2144
(724) 437-8303

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481096
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018740940001
PA
01
3979878
NCPDP
PA
01
PP481096
STATE PHARMACY
PA
Enumeration date
07/09/2006
Last updated
03/07/2023
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