Organization
MIKES APOTHECARY INC
Active
Other names
EAST SIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL V FORNATARO RPH (OWNER PHARMACIST)
(724) 658-4557
Entity
Organization
Contact information
Practice address
708 E WASHINGTON ST, NEW CASTLE, PA 16101-4137
(724) 658-4557
(724) 658-4547
Mailing address
708 E WASHINGTON ST, NEW CASTLE, PA 16101-4137
(724) 658-4557
(724) 658-4547
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP410825L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022164700001
—
PA
Enumeration date
04/16/2007
Last updated
11/21/2008
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