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Organization

FOUNTAIN HILL PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS CHAFFIER R.PH. (PHARMACIST PRESIDENT)
(610) 866-6737
Entity
Organization

Contact information

Practice address
1049 BROADWAY, FOUNTAIN HILL, PA 18015-4148
(610) 866-6737
(610) 866-8309
Mailing address
1049 BROADWAY, FOUNTAIN HILL, PA 18015-4148
(610) 866-6737
(610) 866-8309

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP411106L
PA
3336C0003X
Community/Retail Pharmacy
PP411106L
PA
3336C0004X
Compounding Pharmacy
Primary
PP411106L
PA
3336L0003X
Long Term Care Pharmacy
PP411106L
PA
3336M0002X
Mail Order Pharmacy
PP411106L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001434800 002 24
PA
Enumeration date
03/12/2007
Last updated
09/11/2025
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