Organization
PBM ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ROBERT LAWSON PHARM.D., MBA (PARTNER)
(267) 979-3948
Entity
Organization
Contact information
Practice address
364 WILMINGTON PIKE, A-5, GLEN MILLS, PA 19342-1261
(267) 979-3948
(610) 485-2459
Mailing address
364 WILMINGTON PIKE, A-5, GLEN MILLS, PA 19342-1261
(267) 979-3948
(610) 485-2459
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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