Organization
MAKEFIELD TOWN PHARMACY LLC
Active
Organization
MAKEFIELD TOWN PHARMACY LLC
Active
Other names
Makefield Town Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ILHAMA ANZABI (PHARMACY PRESIDENT)
(267) 210-9795
Entity
Organization
Contact information
Practice address
99 MAKEFIELD RD, YARDLEY, PA 19067-5943
(215) 295-5300
(215) 295-5301
Mailing address
1582 CLARK DR, YARDLEY, PA 19067-4375
(267) 210-9795
(215) 295-5301
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482212
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3996420
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/16/2011
Last updated
01/24/2012
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