Organization
ERIC V FOX PA
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC FOX (OWNER)
(610) 240-0460
Entity
Organization
Contact information
Practice address
578 LANCASTER AVE, BERWYN, PA 19312-1664
(610) 240-0460
(610) 240-0251
Mailing address
578 LANCASTER AVE, BERWYN, PA 19312-1664
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP415766L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01847005
—
PA
01
—
3978701
OTHER ID NUMBER
—
Enumeration date
11/15/2006
Last updated
05/20/2008
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