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Organization

COLPHARM INC

Active
Other names
COLONIAL PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT BURTH (PRES)
(590) 458-5573
Entity
Organization

Contact information

Practice address
538 S STATE ST, MILLVILLE, PA 17846
(570) 458-5573
(570) 458-6113
Mailing address
PO BOX 477, MILLVILLE, PA 17846-0477

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP412844L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007631190004
PA
01
3944003
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/24/2006
Last updated
08/22/2020
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