Organization
BLOOMFIELD PHARMACY INC
Active
Other names
BLOOMFIELD PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MCCLELLAN BSC PHARM (PRES/RPH/OWNER)
(717) 582-2313
Entity
Organization
Contact information
Practice address
1 W MAIN ST, NEW BLOOMFIELD, PA 17068-9603
(717) 582-2313
(717) 582-4015
Mailing address
PO BOX 38, NEW BLOOMFIELD, PA 17068-0038
(717) 582-2313
(717) 582-4015
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP410209L
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001225435001
—
PA
01
—
2080269
PK
—
Enumeration date
06/27/2005
Last updated
03/31/2017
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