DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PERRY DRUG STORES INC AND SUBSIDIARIES

MEDICARE: PERRY DRUG STORES INC AND SUBSIDIARIES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy2958MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12331053OTHEROTHER ID NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255341558
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERRY DRUG STORES INC AND SUBSIDIARIES
Provider Business Mailing Address
First Line : 200 NEWBERRY COMMONS
Second Line :
City : ETTERS
State : PA
Zip : 17319-9363
Country : US
Telephone Number : 717-761-2633
Fax Number : 717-975-8659
Provider Business Practice Location Address
First Line : 2003 EAST TWELVE MILE ROAD
Second Line :
City : WARREN
State : MI
Zip : 48092-5642
Country : US
Telephone Number : 586-751-3600
Fax Number :
Authorized Official
Title or Position : MANAGER ONLINE ADJUDICATION
Name : JENNIFER ZOREK
Credential :
Telephone Number : 717-975-5937
Provider Enumeration Date : 08/09/2006
Last Update Date : 12/12/2017

Similar Medicare Providers

1629100219 — TONY CORSI
Practice Location Address:
2003 E 12 MILE RD
WARREN, MI
48092-5642
Practice Phone: 586-751-3600
Practice Fax:
1093937096 — SUDHEER B MALGIREDDY
Practice Location Address:
2003 E 12 MILE RD
WARREN, MI
48092-5642
Practice Phone: 586-751-3600
Practice Fax: 586-751-1257
1881809283 — MRS. BINDIYA D KOTHARI RPH
Practice Location Address:
2003 E 12 MILE RD
WARREN, MI
48092-5642
Practice Phone: 586-751-3600
Practice Fax: 586-751-1527
1942436944 — FADWA SALEM RPH
Practice Location Address:
2003 E 12 MILE RD
WARREN, MI
48092-5642
Practice Phone: 586-751-3600
Practice Fax:
1730596529 — DR. LIA KIRK PHARM.D.
Practice Location Address:
2003 E 12 MILE RD
WARREN, MI
48092-5642
Practice Phone: 586-751-3600
Practice Fax:
1093123697 — RITE AID PHARMACY
Practice Location Address:
2003 E 12 MILE RD
WARREN, MI
48092-5642
Practice Phone: 586-751-3600
Practice Fax: 586-751-1257

Directions to “PERRY DRUG STORES INC AND SUBSIDIARIES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.