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Organization

CROZER HEALTH PHARMACY

Active
Parent organization
PROSPECT CCMC, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROSPECT CCMC, LLC
Authorized official
MRS. LUCINDA LYNNE CUMBERBATCH PHARM D (SYSTEM OF DIRECTOR OF PHARMACY)
(610) 447-2855
Entity
Organization

Contact information

Practice address
1 MEDICAL CENTER BLVD (GROUND FLOOR), UPLAND, PA 19013
(610) 447-2850
(610) 447-2861
Mailing address
1 MEDICAL CENTER BLVD (GROUND FLOOR), UPLAND, PA 19013
(610) 447-2850
(610) 447-2861

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
HP418048L
PA
3336C0003X
Community/Retail Pharmacy
Primary
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3972848
NABP
PA
Enumeration date
05/16/2008
Last updated
09/15/2021
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