Organization
RTA PHARMACY CARE, INC
Active
Parent organization
RESPIRATORY THERAPY ASSOCIATES OF PA, LTD.
Other names
RTA PHARMACY CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESPIRATORY THERAPY ASSOCIATES OF PA, LTD.
Authorized official
MR. CHARLES M. CICCONE CRT. (PRESIDENT)
(610) 558-6222
Entity
Organization
Contact information
Practice address
24 EAST 10TH STREET, MARCUS HOOK, PA 19061
(484) 816-3997
(484) 816-3998
Mailing address
255 WILMINGTON WEST CHESTER PIKE, SUITE 4, CHADDS FORD, PA 19317
(610) 558-6222
(610) 558-6226
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PP415331L
PA
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PP415331L
PA
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
PP415331L
PA
3336L0003X
Long Term Care Pharmacy
PP415331L
PA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018412710001
—
PA
05
—
1000024046
—
DE
01
—
2083713
PK
—
Enumeration date
05/02/2006
Last updated
08/18/2014
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