Organization
PENN MEDICAL PHARMACY LLC
Active
Other names
Penn Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HEMIN VAIDYA VAIDYA (PHARMACY MANAGER)
(908) 930-9417
Entity
Organization
Contact information
Practice address
385 OXFORD VALLEY RD UNIT 5, YARDLEY, PA 19067-7700
(215) 960-9010
(215) 960-9011
Mailing address
385 OXFORD VALLEY RD UNIT 5, YARDLEY, PA 19067-7700
(215) 960-9010
(215) 960-9011
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3529074
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169574
PK
—
Enumeration date
06/06/2017
Last updated
06/06/2017
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