Organization
MELVIN BURGIS
Active
Other names
MELS MARPLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MEL BURGIS (OWNER)
(610) 356-6772
Entity
Organization
Contact information
Practice address
2530 W CHESTER PIKE, BROOMALL, PA 19008-2429
(610) 356-6491
(610) 356-6492
Mailing address
2530 W CHESTER PIKE, BROOMALL, PA 19008-2429
(610) 356-6491
(610) 356-6492
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP411484L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3909148
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/08/2007
Last updated
02/18/2011
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