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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