Organization
OLD BALTIMORE PIKE APOTHECARY INC
Active
Other names
SOUTHERN CHESTER COUNTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED GAGLIARDI RPH (OWNER)
(610) 869-3200
Entity
Organization
Contact information
Practice address
1011 W BALTIMORE PIKE, STE 109, WEST GROVE, PA 19390-9446
(610) 869-3200
(610) 869-4221
Mailing address
1011 W BALTIMORE PIKE, STE 109, WEST GROVE, PA 19390-9446
(610) 869-3200
(610) 869-4221
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP410390L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000936826
—
PA
01
—
2084252
PK
—
Enumeration date
06/15/2006
Last updated
08/19/2016
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