Organization
LEHIGH VALLEY PHARMACY LLC
Active
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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