Medicine Man INC
NPI #1790857597 in Rockledge, Pennsylvania
Provider Information
- NPI Number
- 1790857597
- Entity Type
- Organization
- Organization Name
- Medicine Man INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Feb 3, 2012
Practice Location
- Address
- 400 HUNTINGDON PIKE
- Address 2
- SUITE A
- City
- Rockledge
- State
- Pennsylvania
- ZIP Code
- 19046-4431
- Phone
- (215) 663-1755
Authorized Official
- Name
- ROBERT REIVER, RPH
- Title
- OWNER
- Phone
- (215) 663-1755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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