Organization
CONCEPT PHARMACY SERVICES LLC
Active
Other names
CONCEPT MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
HILLEL BRULL (CEO)
(570) 875-3611
Entity
Organization
Contact information
Practice address
639 CHESTNUT ST, ASHLAND, PA 17921
(570) 875-3611
(570) 875-2885
Mailing address
PO BOX 201, ASHLAND, PA 17921-0201
(570) 875-3611
(570) 875-2885
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PP415613L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001785065
—
PA
Enumeration date
09/09/2005
Last updated
05/21/2019
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