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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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