Organization
PHARMACY OF NORRISTOWN, LLC
Active
Other names
PHARMACY OF NORRISTOWN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. 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
3336L0003X
Long Term Care Pharmacy
Primary
PP482704
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103252514
—
PA
Enumeration date
09/18/2017
Last updated
07/21/2022
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