Organization
T E P INC
Active
Other names
Brighton HealthMart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY MURRAY DAVIS R.PH. (OWNER/PHARMACIST)
(724) 847-7979
Entity
Organization
Contact information
Practice address
525 5TH AVE, NEW BRIGHTON, PA 15066-1737
(724) 847-7979
(724) 847-1774
Mailing address
525 5TH AVE, NEW BRIGHTON, PA 15066-1737
(724) 847-7979
(724) 847-1774
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP414812L
PA
3336L0003X
Long Term Care Pharmacy
PP414812L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011588240002
—
PA
01
—
3958038
NCPCP
PA
01
—
PP414182L
STATE PHARMACY LICENSE
PA
Enumeration date
09/02/2005
Last updated
08/09/2016
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