Organization
FOULKEWAYS AT GWYNEDD PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW TRELLA PHARMD (PHARMACY MANAGER)
(215) 283-7057
Entity
Organization
Contact information
Practice address
1120 MEETINGHOUSE RD., GWYNEDD, PA 19436
(215) 283-7057
(267) 464-4132
Mailing address
1120 MEETINGHOUSE RD., GWYNEDD, PA 19436
(215) 283-7057
(267) 464-4132
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PP413422L
PA
3336L0003X
Long Term Care Pharmacy
Primary
PP413422L
PA
Other
Enumeration date
12/01/2006
Last updated
03/29/2017
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