MEDICARE: FOXS 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
1	333600000X	Pharmacy	PP481379	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1932218831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOXS PHARMACY INC

Provider Business Mailing Address
First Line	:	1800 LINGLESTOWN RD
Second Line	:	SUITE 103
City	:	HARRISBURG
State	:	PA
Zip	:	17110-3347
Country	:	US
Telephone Number	:	717-232-9490
Fax Number	:	717-232-5909

Provider Business Practice Location Address
First Line	:	3900 PERRYSVILLE AVE
Second Line	:	SUITE A
City	:	PITTSBURGH
State	:	PA
Zip	:	15214-1748
Country	:	US
Telephone Number	:	412-231-8300
Fax Number	:	412-231-8301

Authorized Official
Title or Position	:	CMS
Name	:	MS. HELEN MARIA CRAIGO
Credential	:
Telephone Number	:	717-232-9490

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/22/2020

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Practice Location Address:

3900 PERRYSVILLE AVE
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15214-1748

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1932317336 — AMANDA N LUCAS LPC
Practice Location Address:

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Directions to “FOXS PHARMACY INC ” Practice Location

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