Organization
SBW PHARMACY, INC.
Active
Other names
Reynolds Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETTON CLARK WALBERG RPH (PRESIDENT)
(724) 612-2131
Entity
Organization
Contact information
Practice address
3676 N HERMITAGE RD STE 6, TRANSFER, PA 16154-1852
(724) 646-1131
(724) 646-1177
Mailing address
PO BOX 103, TRANSFER, PA 16154-0103
(724) 646-1131
(724) 646-1177
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP412067L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP412067L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018507560001
—
PA
Enumeration date
02/02/2007
Last updated
02/06/2024
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