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Organization

NORTHEAST PHARMACY SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL GLENNON (VP)
(610) 377-9730
Entity
Organization

Contact information

Practice address
590 COAL STREET, LEHIGHTON, PA 18235-1339
(610) 377-9730
(610) 377-9510
Mailing address
590 COAL STREET, LEHIGHTON, PA 18235-1339
(610) 377-9730
(610) 377-9510

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PP415689L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018207070001
PA
Enumeration date
03/01/2007
Last updated
08/22/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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