Organization
MACKEYS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LORENZO (VICE PRESIDENT)
(610) 356-1200
Entity
Organization
Contact information
Practice address
3537 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-3701
(610) 356-1200
(610) 356-6793
Mailing address
PO BOX 287, NEWTOWN SQUARE, PA 19073-0287
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP411443L
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0686920
—
PA
01
—
3944166
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/30/2006
Last updated
06/19/2008
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