Organization
POCONO COMMUNITY PHARMACY INC
Active
Other names
POCONO COMMUNITY PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
UMESH PATEL (PRESIDENT)
(484) 274-5428
Entity
Organization
Contact information
Practice address
1656 ROUTE 209 UNIT 6, BRODHEADSVILLE, PA 18322-7819
(570) 801-7886
(267) 457-3225
Mailing address
1656 ROUTE 209 UNIT 6, PLEASANT VALLEY PLAZA, BRODHEADSVILLE, PA 18322-7819
(570) 801-7886
(267) 457-3225
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482757
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2172263
PK
—
Enumeration date
11/02/2017
Last updated
07/19/2018
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