Organization
PHARMACY OF NORRISTOWN, LLC
Active
Other names
PHARMACY OF NORRISTOWN
Organization subpart
No
Provider details
NPI number
Authorized official
MAHESH PALADUGU (PRESIDENT)
(484) 231-1014
Entity
Organization
Contact information
Practice address
420 W MARSHALL ST, NORRISTOWN, PA 19401-4640
(484) 231-1014
(484) 231-1865
Mailing address
420 W MARSHALL ST, NORRISTOWN, PA 19401-4640
(484) 231-1014
(484) 231-1865
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482704
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103252514
—
PA
01
—
2167515
PK
—
Enumeration date
01/27/2017
Last updated
09/15/2017
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