Organization
SOUTH MOUNTAIN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANE M FREEMAN R.PH (OWNER)
(610) 791-3917
Entity
Organization
Contact information
Practice address
2441 W EMMAUS AVE, ALLENTOWN, PA 18103-7234
(610) 791-3917
(610) 791-3962
Mailing address
2441 W EMMAUS AVE, ALLENTOWN, PA 18103-7234
(610) 791-3917
(610) 791-3962
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP410161L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015684200002
—
PA
Enumeration date
11/19/2006
Last updated
08/22/2020
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