Organization
CONCORDVILLE PHARMACY INC
Active
Organization
CONCORDVILLE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS DALLURA RPH (PHARMACY MANAGER)
(610) 459-2424
Entity
Organization
Contact information
Practice address
790 E BALTIMORE PIKE, CONCORDVILLE, PA 19331
(610) 459-2424
(610) 558-9856
Mailing address
PO BOX 465, CONCORDVILLE, PA 19331-0465
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481323
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008867900001
—
PA
01
—
3982623
OTHER ID NUMBER
—
Enumeration date
10/10/2006
Last updated
03/14/2008
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