Organization
BOSWELL PHARMACY SERVICES LLC
Active
Other names
BOSWELL PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MARTELLA RPH (OWNER)
(814) 629-1397
Entity
Organization
Contact information
Practice address
131 SCHOOLHOUSE RD, JENNERSTOWN, PA 15547
(814) 629-1397
(814) 629-7644
Mailing address
PO BOX 266, JENNERSTOWN, PA 15547-0266
(814) 629-1397
(814) 629-7644
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP415379L
PA
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007406150004
—
PA
01
—
2084943
PK
—
Enumeration date
09/29/2005
Last updated
04/30/2024
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