Organization
MEDARBOR LLC
Active
Organization
MEDARBOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIROSLAV KESIC PHARM.D. (PRESIDENT)
(610) 660-8100
Entity
Organization
Contact information
Practice address
200 RITTENHOUSE CIR BLDG SUITEE3, BRISTOL, PA 19007-1619
(610) 660-8100
(866) 740-4689
Mailing address
200 RITTENHOUSE CIR STE 3E, BRISTOL, PA 19007-1625
(610) 660-8100
(866) 740-4689
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481966
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102401469
—
PA
01
—
2121939
PK
—
Enumeration date
08/13/2009
Last updated
01/22/2018
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