Organization
NAZARETH PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KAVANAGH (PRES)
(610) 759-3240
Entity
Organization
Contact information
Practice address
19 S BROAD ST, NAZARETH, PA 18064-2116
(610) 759-3240
(610) 746-0946
Mailing address
19 S BROAD ST, NAZARETH, PA 18064-2116
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP411674L
PA
3336C0003X
Community/Retail Pharmacy
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005835840002
—
PA
01
—
3906293
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/09/2007
Last updated
09/11/2025
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