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Organization
BOSWELL PHARMACY SERVICES LLC
Active
Organization
BOSWELL PHARMACY SERVICES LLC
Active
Other names
BOSWELL PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MARTELLA RPH (OWNER)
(814) 629-1397
Entity
Organization
Contact information
Practice address
131 SCHOOLHOUSE RD, JENNERSTOWN, PA 15547
(814) 629-1397
(814) 629-7644
Mailing address
PO BOX 266, JENNERSTOWN, PA 15547-0266
(814) 629-1397
(814) 629-7644
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP415379L
PA
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007406150004
—
PA
01
—
2084943
PK
—
Enumeration date
09/29/2005
Last updated
04/30/2024
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