Provider Demographics
NPI:1932122405
Name:KARWASKI PHARMACY INC
Entity Type:Organization
Organization Name:KARWASKI PHARMACY INC
Other - Org Name:MEDICINE SHOPPE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:KARWASKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-674-5577
Mailing Address - Street 1:26 DALLAS VILLAGE SHOPPING CTR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:PA
Mailing Address - Zip Code:18612-1231
Mailing Address - Country:US
Mailing Address - Phone:570-674-5577
Mailing Address - Fax:570-675-1357
Practice Address - Street 1:26 DALLAS VILLAGE SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:PA
Practice Address - Zip Code:18612-1231
Practice Address - Country:US
Practice Address - Phone:570-674-5577
Practice Address - Fax:570-675-1357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP414724L333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3966162OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PA0014006330001Medicaid
PA0014006330001Medicaid
3966162OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PA0480250001Medicare NSC