Organization
ST LUKES HOMESTAR SERVICES LLC
Active
Other names
St. Lukes Homestar Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BORGIONI (ADMINISTRATOR)
(484) 526-7650
Entity
Organization
Contact information
Practice address
1700 ST LUKES BLVD, EASTON, PA 18045-5670
(484) 503-7500
Mailing address
1700 ST LUKES BLVD, EASTON, PA 18045-5670
(484) 503-7500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482624
PA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158598
PK
—
Enumeration date
03/28/2016
Last updated
09/24/2024
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