# BROCKIE HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BROCKIE PHARMATECH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629133046
- **Authorized official:** ERIC SHELLEY RPH (VP OF OPR)
- **Authorized official phone:** (717) 848-3445

## Contact information

- **Practice address:** 100 HOMEWOOD WAY, HANOVER, PA 17331-7860
- **Practice address phone:** (717) 632-5000
- **Practice address fax:** (717) 637-5020
- **Mailing address:** 100 HOMEWOOD WAY, HANOVER, PA 17331-7860
- **Mailing address phone:** (717) 632-5000
- **Mailing address fax:** (717) 637-5020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PP481482 | PA | Yes |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 12/31/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007508270014 | — | PA |
| 01 | — | 2087369 | PK | — |