Healthcare Provider Details

I. General information

NPI: 1639278997
Provider Name (Legal Business Name): THRIFT DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 S MOUNTAIN BLVD
MOUNTAIN TOP PA
18707-1911
US

IV. Provider business mailing address

50 SERVICE AVE
WARWICK RI
02886-1021
US

V. Phone/Fax

Practice location:
  • Phone: 570-474-9203
  • Fax: 570-474-0363
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP 410781 L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOYCE FRANCO
Title or Position: LICENSING SUPERVISOR
Credential:
Phone: 401-468-2840