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Organization
WYCOMBE PHARMACY INC.
Active
Organization
WYCOMBE PHARMACY INC.
Active
Other names
Lehigh Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL CARMEN SCOTA R.PH. (PHARMACIST & OWNER)
(215) 225-7522
Entity
Organization
Contact information
Practice address
1006 W LEHIGH AVE, PHILADELPHIA, PA 19133-1640
(215) 225-7522
(215) 225-7525
Mailing address
1006 W LEHIGH AVE, PHILADELPHIA, PA 19133-1640
(215) 225-7522
(215) 225-7525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PP481048
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003954488
NPI
PA
05
—
1007398660003
—
PW
01
—
3979640
NCPDP #
PA
01
—
PP481048
LISCENSE
PA
Enumeration date
02/01/2007
Last updated
03/07/2023
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