Organization
GLEN CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG DIEHL RPH (OWNER)
(215) 643-2880
Entity
Organization
Contact information
Practice address
1969 NORRISTOWN RD, MAPLE GLEN, PA 19002-2921
(215) 643-2880
(215) 643-7544
Mailing address
1969 NORRISTOWN RD, MAPLE GLEN, PA 19002-2921
(215) 643-2880
(215) 643-7544
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP413113L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3961681
OTHER ID NUMBER
—
Enumeration date
06/13/2005
Last updated
05/12/2008
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