# BOSWELL PHARMACY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BOSWELL PHARMACY SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003803610
- **Authorized official:** JACQUELINE MARTELLA RPH (OWNER)
- **Authorized official phone:** (814) 629-1397

## Contact information

- **Practice address:** 131 SCHOOLHOUSE RD, JENNERSTOWN, PA 15547
- **Practice address phone:** (814) 629-1397
- **Practice address fax:** (814) 629-7644
- **Mailing address:** PO BOX 266, JENNERSTOWN, PA 15547-0266
- **Mailing address phone:** (814) 629-1397
- **Mailing address fax:** (814) 629-7644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PP415379L | PA | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 04/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007406150004 | — | PA |
| 01 | — | 2084943 | PK | — |