# CAMILLA HALL INFIRMARY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Camilla Hall Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245396555
- **Authorized official:** CAROLYN M MCWILLIAMS RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (484) 321-5656

## Contact information

- **Practice address:** 100 MAXIS DRIVE, MALVERN, PA 19355
- **Practice address phone:** (484) 321-5656
- **Practice address fax:** (484) 321-5657
- **Mailing address:** 100 MAXIS DRIVE, MALVERN, PA 19355
- **Mailing address phone:** (484) 321-5656
- **Mailing address fax:** (484) 321-5657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PP414299L | PA | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 05/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1230524 | — | PA |
| 01 | — | 2079703 | PK | — |