Organization
CORUS PHARMACY AND HEALTHCARE PRODUCTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTY WOLF (VICE PRESIDENT)
(484) 452-6390
Entity
Organization
Contact information
Practice address
1246 TOWNSHIP LINE RD, DREXEL HILL, PA 19026-5001
(484) 452-6390
Mailing address
1246 TOWNSHIP LINE RD, DREXEL HILL, PA 19026-5001
(484) 452-6390
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PP481732
PA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PP481732
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10109568530001
—
PA
Enumeration date
06/29/2007
Last updated
07/06/2012
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