Organization
COMPOUNDING RX APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC FOX RPH (PHARMACIST)
(484) 527-0203
Entity
Organization
Contact information
Practice address
81 LANCASTER AVE, STORE #4, MALVERN, PA 19355-2139
(484) 527-0203
(484) 527-0205
Mailing address
81 LANCASTER AVE, STORE #4, MALVERN, PA 19355-2139
(484) 527-0203
(484) 527-0205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PP481331
PA
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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