# PENNSWOOD VILLAGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PENNSWOOD VILLAGE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871631549
- **Authorized official:** CHRISTINE JUMP RPH CGP (DIR OF PHARMACY)
- **Authorized official phone:** (215) 504-1102

## Contact information

- **Practice address:** 1382 NEWTOWN LANGHORNE RD, NEWTOWN, PA 18940-2418
- **Practice address phone:** (215) 504-1102
- **Practice address fax:** (215) 504-6870
- **Mailing address:** 1382 NEWTOWN LANGHORNE RD, NEWTOWN, PA 18940-2418
- **Mailing address phone:** (215) 504-1102
- **Mailing address fax:** (215) 504-6870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | HP416583L | PA | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 03/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3943366 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |