Organization
COUNTY LINE PHARMACY INC
Active
Organization
COUNTY LINE PHARMACY INC
Active
Other names
COUNTY LINE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK EVES RPH (OWNER)
(210) 260-8662
Entity
Organization
Contact information
Practice address
25 S YORK RD, HATBORO, PA 19040-3231
(215) 443-7700
(215) 443-8255
Mailing address
25 S YORK RD, HATBORO, PA 19040-3231
(215) 443-7700
(215) 443-8255
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481317
PA
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3982522
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
12/06/2011
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