Organization
ESTERBROOK WRD PHARMACY LLC
Active
Other names
West Reading Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ESTERBROOK (MANAGER/MEMBER)
(484) 269-7751
Entity
Organization
Contact information
Practice address
538 PENN AVE, WEST READING, PA 19611-1036
(610) 375-4366
(610) 372-7710
Mailing address
538 PENN AVE, WEST READING, PA 19611-1036
(610) 375-4366
(610) 372-7710
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP412856L
PA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103138879
—
PA
01
—
2164002
PK
—
Enumeration date
09/12/2006
Last updated
10/05/2016
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