Organization
WESCLARE CORPORATION
Active
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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