Organization
BETHLEHEM PHARMACY RX INC
Active
Other names
BETHLEHEM PHARMACY RX INC
Organization subpart
No
Provider details
NPI number
Authorized official
PRADEEP RAYAPUDI (OWNER/AO)
(609) 375-7899
Entity
Organization
Contact information
Practice address
817 E 4TH ST, FLR1, BETHLEHEM, PA 18015-1931
(610) 419-6522
(610) 419-6544
Mailing address
817 E 4TH ST, FL1, BETHLEHEM, PA 18015-1931
(610) 419-6522
(610) 419-6544
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482762
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103441843 0001
—
PA
05
—
1034418430001
—
PA
01
—
2173964
PK
—
Enumeration date
11/22/2017
Last updated
07/19/2018
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