Organization
LEHIGH VALLEY PHARMACY LLC
Active
Other names
Lehigh Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MEL BADWAY (MANAGING MEMBER)
(610) 905-4038
Entity
Organization
Contact information
Practice address
3055 W TILGHMAN ST, ALLENTOWN, PA 18104-4256
(610) 770-1212
(610) 770-1266
Mailing address
3055 W TILGHMAN ST, ALLENTOWN, PA 18104-4256
(610) 770-1212
(610) 770-1266
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP-482077
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102562263 0001
—
PA
01
—
3994995
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/16/2010
Last updated
05/04/2011
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