FAMILY APOTHECARY LLC
10441 Perry Hwy Suite 17
Wexford, PA 15090
724-934-2070
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | PA | PP481790 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1022628480001 | PA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 3992016 | OTHER |