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
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