# BIRDSBORO PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BIRDSBORO PHARMACY INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043946288
- **Legal business name:** BIRDSBORO PHARMACY INC.
- **Authorized official:** MARTIN JOHN KENDRA RPH (PRESIDENT)
- **Authorized official phone:** (610) 582-4005

## Contact information

- **Practice address:** 200 W 1ST ST STE 3A, BIRDSBORO, PA 19508-2254
- **Practice address phone:** (610) 582-4005
- **Practice address fax:** (610) 404-4512
- **Mailing address:** 200 W 1ST ST STE 3A, BIRDSBORO, PA 19508-2254
- **Mailing address phone:** (610) 582-4005

## Taxonomy

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

## Other

- **Enumeration date:** 07/29/2022
- **Last updated:** 07/29/2022