# FOULKEWAYS AT GWYNEDD PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093883969
- **Authorized official:** MR. ANDREW TRELLA PHARMD (PHARMACY MANAGER)
- **Authorized official phone:** (215) 283-7057

## Contact information

- **Practice address:** 1120 MEETINGHOUSE RD., GWYNEDD, PA 19436
- **Practice address phone:** (215) 283-7057
- **Practice address fax:** (267) 464-4132
- **Mailing address:** 1120 MEETINGHOUSE RD., GWYNEDD, PA 19436
- **Mailing address phone:** (215) 283-7057
- **Mailing address fax:** (267) 464-4132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PP413422L | PA | — |
| 3336L0003X | Long Term Care Pharmacy | PP413422L | PA | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 03/29/2017