# PROFESSIONAL PHARMACY OF PENNSBURG, INC

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

## Provider details

- **NPI number:** 1104602283
- **Authorized official:** DAVID STONE (OWNER)
- **Authorized official phone:** (610) 858-1044

## Contact information

- **Practice address:** 931 MAIN ST, PENNSBURG, PA 18073-1603
- **Practice address phone:** (215) 679-9700
- **Practice address fax:** (215) 679-5410
- **Mailing address:** 931 MAIN ST, PENNSBURG, PA 18073-1603
- **Mailing address phone:** (215) 679-9700
- **Mailing address fax:** (215) 679-5410

## Taxonomy

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

## Other

- **Enumeration date:** 09/05/2023
- **Last updated:** 10/24/2023
