Organization
SBW PHARMACY, INC.
Active
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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