Organization
OLD BALTIMORE PIKE APOTHECARY INC
Active
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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