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NPI Code Detail

MEDICARE: NC PHARMACY INC

MEDICARE: NC PHARMACY INC
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
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPP482028PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22124429OTHERPK

General Provider Information

NPI Number : 1154641066
Entity Type Code : Organization
Provider Name (Legal Business Name) : NC PHARMACY INC
Provider Business Mailing Address
First Line : 343 MERCER RD
Second Line :
City : GREENVILLE
State : PA
Zip : 16125-9773
Country : US
Telephone Number : 724-588-6337
Fax Number : 724-656-5005
Provider Business Practice Location Address
First Line : 1112 S MILL ST
Second Line :
City : NEW CASTLE
State : PA
Zip : 16101-4629
Country : US
Telephone Number : 724-656-5000
Fax Number : 724-656-5005
Authorized Official
Title or Position : OWNER
Name : BRETTON WALBERG
Credential :
Telephone Number : 724-612-2131
Provider Enumeration Date : 06/03/2010
Last Update Date : 05/10/2022

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Directions to “NC PHARMACY INC ” Practice Location

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