EVANS CITY DRUG STORE INC
Medical Equipment Supplier Yellow Pages
Evans City, Pennsylvania
Provider NPI: 1114096807
Organization Information:Organization Name: EVANS CITY DRUG STORE INC
Practice Location:
201 E MAIN ST EVANS CITY, PA 16033 US
Tel: 724-538-4240 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
201 E MAIN ST EVANS CITY, PA 16033 US
Tel: 724-538-4240 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | ||
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
Y | 3336C0003X | Suppliers Pharmacy | PA | PP412566L |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2087018 | 01 | |
0011557890001 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin