Organization
CAMILLA HALL INFIRMARY
Active
Other names
Camilla Hall Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN M MCWILLIAMS RPH (DIRECTOR OF PHARMACY)
(484) 321-5656
Entity
Organization
Contact information
Practice address
100 MAXIS DRIVE, MALVERN, PA 19355
(484) 321-5656
(484) 321-5657
Mailing address
100 MAXIS DRIVE, MALVERN, PA 19355
(484) 321-5656
(484) 321-5657
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PP414299L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1230524
—
PA
01
—
2079703
PK
—
Enumeration date
12/29/2006
Last updated
05/26/2022
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