Organization
AB & AT LLC
Active
Other names
MEDICAL PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAUSHAL PATEL (PRESIDENT)
(917) 667-6989
Entity
Organization
Contact information
Practice address
240 MIDDLETOWN BLVD, LANGHORNE, PA 19047-1832
(215) 741-4455
(215) 741-4456
Mailing address
PO BOX 429, LEVITTOWN, PA 19058-0429
(215) 741-4455
(215) 741-4456
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481824
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021547150001
—
PA
01
—
3990389
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/03/2008
Last updated
03/18/2013
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