Provider Demographics
NPI:1932218831
Name:FOXS PHARMACY INC
Entity Type:Organization
Organization Name:FOXS PHARMACY INC
Other - Org Name:THE MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CMS
Authorized Official - Prefix:MS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:CRAIGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-232-9490
Mailing Address - Street 1:1800 LINGLESTOWN RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-3347
Mailing Address - Country:US
Mailing Address - Phone:717-232-9490
Mailing Address - Fax:717-232-5909
Practice Address - Street 1:3900 PERRYSVILLE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15214-1748
Practice Address - Country:US
Practice Address - Phone:412-231-8300
Practice Address - Fax:412-231-8301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP481379333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007725840005Medicaid
PA4618850003Medicare ID - Type Unspecified