Organization
P&K PHARMACY INC
Active
Other names
MAIN LINE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BURRICHTER (OWNER AND PRESIDENT)
(610) 658-8640
Entity
Organization
Contact information
Practice address
100 E LANCASTER AVE, SUITE 12, WYNNEWOOD, PA 19096-3450
(610) 658-8640
(610) 658-8644
Mailing address
100 E LANCASTER AVE, SUITE 12, WYNNEWOOD, PA 19096-3450
(610) 658-8640
(610) 658-8644
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP415726L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101282640
—
PA
01
—
3978395
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
06/19/2008
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