Shade Mountain Pharmacy Llc
Community/Retail Pharmacy
9627 Route 35 Ste 20, Mt Pleasant Mills
Pennsylvania, 17853-8409
570-539-2050 570-539-8581
Shade Mountain Pharmacy Llc is not a DME supplier for medicare equipments and products.
Shade Mountain Pharmacy Llc is a Community/Retail Pharmacy in Mt Pleasant Mills, Pennsylvania. It is located at 9627 Route 35 Ste 20, Mt Pleasant Mills and it's customer support contact number is 570-539-2050. The authorized person of Shade Mountain Pharmacy Llc is Tyler Trutt who is Owner of the pharmacy and his contact number is 570-539-2050. Active license number of Shade Mountain Pharmacy Llc is PP413814L for Community/Retail Pharmacy in Pennsylvania.
Shade Mountain Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Shade Mountain Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Shade Mountain Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 9627 Route 35 Ste 20, Mt Pleasant Mills, Pennsylvania, 17853-8409 |
| Phone: | 570-539-2050 |
| Fax: | 570-539-8581 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Tyler Trutt |
| Position: | Owner |
| Contact Number: | 570-539-2050 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1912067778 |
| NPI Enumeration Date: | 11 Dec, 2006 |
| NPI Last Update On: | 01 May, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shade Mountain Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PP413814L | Pennsylvania | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3951399 | Other | Pennsylvania | Nabp # |
| 001047164001 | Medicaid | Pennsylvania | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9627 Route 35, Suite 20 Mt Pleasant Mills, Pennsylvania |
| Zip: | 17853-8409 |
| Phone Number: | 570-539-2050 |
| Fax Number: | 570-539-8581 |
Patients can reach Shade Mountain Pharmacy Llc at
9627 Route 35 Ste 20, Mt Pleasant Mills, Pennsylvania or can
call on customer care at 570-539-2050.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.