# BROCKIE HEALTHCARE INC

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

## Provider details

- **NPI number:** 1790841062
- **Authorized official:** JOHN GILLESPIE RPH (VP OF OPR)
- **Authorized official phone:** (717) 848-3445

## Contact information

- **Practice address:** 118 PLEASANT ACRES RD, YORK, PA 17402-8975
- **Practice address phone:** (717) 840-7144
- **Practice address fax:** (717) 757-5756
- **Mailing address:** 118 PLEASANT ACRES RD, YORK, PA 17402-8975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PP415755L | PA | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007508720011 | — | PA |
| 05 | — | 1007508720013 | — | PA |
| 01 | — | 3978600 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |