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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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