Organization
CROZER HEALTH PHARMACY
Active
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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