STROUD COMPOUNDING AND WELLNESS DRUGSTORE CORP
1619 N 9th St Ste 3
Stroudsburg, PA 18360
570-476-6936
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | PA | PP481651 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2136912 | OTHER | |
1027704260001 | PA | MEDICAID |