Organization
ALLIANCE PA PHARMACY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GRODMAN (PRESIDENT)
(610) 376-3000
Entity
Organization
Contact information
Practice address
1235 PENN AVE STE 101, WYOMISSING, PA 19610-2100
(610) 376-3000
Mailing address
1235 PENN AVE STE 101, WYOMISSING, PA 19610-2100
(610) 376-3000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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