Organization
EAST NORRITON PHARMACY LLC
Active
Other names
East Norriton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MANZIL PANCHAL (PHARMACY MANAGER)
(484) 370-1111
Entity
Organization
Contact information
Practice address
215 W GERMANTOWN PIKE, EAST NORRITON, PA 19401-1331
(484) 370-1111
(484) 751-5245
Mailing address
215 W GERMANTOWN PIKE, EAST NORRITON, PA 19401-1331
(484) 370-1111
(484) 751-5245
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482767
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0610763
—
NJ
05
—
103446151 0001
—
PA
01
—
2175571
PK
—
Enumeration date
12/19/2017
Last updated
07/19/2018
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