Organization
BRANDYWINE PHARMACY LLC
Active
Other names
BRANDYWINE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER GRANDIZIO SWARD BS (PRESIDENT OWNER)
(610) 476-8531
Entity
Organization
Contact information
Practice address
2503 CONESTOGA AVE, HONEY BROOK, PA 19344-1088
(610) 273-3900
(610) 273-9933
Mailing address
PO BOX 730, HONEY BROOK, PA 19344-0730
(610) 273-3900
(610) 273-9933
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481669
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2081748
PK
—
Enumeration date
12/18/2006
Last updated
03/31/2016
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