Organization
BROCKIE HEALTHCARE INC
Active
Other names
BROCKIE PHARMATECH
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SHELLEY RPH (VP OF OPR)
(717) 848-3445
Entity
Organization
Contact information
Practice address
100 HOMEWOOD WAY, HANOVER, PA 17331-7860
(717) 632-5000
(717) 637-5020
Mailing address
100 HOMEWOOD WAY, HANOVER, PA 17331-7860
(717) 632-5000
(717) 637-5020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PP481482
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007508270014
—
PA
01
—
2087369
PK
—
Enumeration date
12/26/2006
Last updated
12/31/2013
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