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Contact Information

THE DICKSON APOTHECARY LLC
105 WHEATFIELD DR
SUITE 2 PRIME TIME PLAZA
MILFORD, PA18337
 Phone: 570-296-5138
 Fax: 570-296-5386
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for THE DICKSON APOTHECARY LLC

NPI # 1295840239
LBN Legal business name THE DICKSON APOTHECARY LLC
Authorized official ANDREW DICKSON - (OWNER PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
PA License # PP481527
PA Medicaid 1014838170001
Other 3985376 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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