Organization
NAZARETH PHARMACY INC
Active
Other names
Nazareth Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS E KAVANAGH RPH (PRESIDENT)
(610) 759-3240
Entity
Organization
Contact information
Practice address
19 S BROAD ST, NAZARETH, PA 18064-2116
(610) 759-3240
(610) 746-0946
Mailing address
19 S BROAD ST, NAZARETH, PA 18064-2116
(610) 759-3240
(610) 746-0946
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
48107286
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
48107286
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP411674L
PA
335E00000X
Prosthetic/Orthotic Supplier
48107286
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005835840002
—
PA
05
—
0005835840003
—
PA
01
—
PP411674L
PHARMACY LICENSE
PA
Enumeration date
09/05/2006
Last updated
09/11/2025
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