Organization
BENMED INC.
Active
Other names
THE MEDICINE SHOPPE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP BENNETT BS PHARM/BIO (OWNER/PHARMACIST)
(215) 536-5595
Entity
Organization
Contact information
Practice address
1408 W BROAD ST, STE 2, QUAKERTOWN, PA 18951-1193
(215) 536-5595
(215) 536-6426
Mailing address
1408 W BROAD ST, STE 2, QUAKERTOWN, PA 18951-1193
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP414874L
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001455604
—
PA
01
—
3968243
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/14/2006
Last updated
12/18/2008
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