Organization
KEYSTONE MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW ANDREWS (OWNER)
(610) 837-7138
Entity
Organization
Contact information
Practice address
5925 TILGHMAN ST STE 300, ALLENTOWN, PA 18104-8100
(610) 837-7138
(610) 837-5235
Mailing address
5925 TILGHMAN ST STE 300, ALLENTOWN, PA 18104-8100
(610) 837-7138
(610) 837-5235
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP481913
PA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163796
PK
—
Enumeration date
08/03/2016
Last updated
01/21/2022
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