Organization
CLEMENS MARKET INC
Active
Organization
CLEMENS MARKET INC
Active
Other names
CLEMENS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD SHAPIRO (DIR OF PHARMACY)
(215) 361-9000
Entity
Organization
Contact information
Practice address
RTE 202 AND 73, CENTER SQUARE PLAZA, CENTER SQUARE, PA 19422
(610) 279-9869
(610) 279-9612
Mailing address
RTE 202 AND 73, CENTER SQUARE PLAZA, CENTER SQUARE, PA 19422
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP415767L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007768230001
—
PA
01
—
3978890
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/25/2006
Last updated
08/22/2020
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