Organization
ST LUKES HOMESTAR SERVICES LLC
Active
Organization
ST LUKES HOMESTAR SERVICES LLC
Active
Other names
ST. LUKE'S HOMESTAR PHARMACY - Allentown
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BORGIONI (ADMINISTRATOR)
(484) 526-7650
Entity
Organization
Contact information
Practice address
1736 HAMILTON ST, 1ST FLOOR - SOUTH TOWER, ALLENTOWN, PA 18104-5656
(610) 628-7577
(610) 628-7579
Mailing address
1736 HAMILTON ST, 1ST FLOOR - SOUTH TOWER, ALLENTOWN, PA 18104-5656
(610) 628-7577
(610) 628-7579
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482014
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021947390006
—
PA
01
—
2124004
PK
—
Enumeration date
03/01/2010
Last updated
03/28/2019
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