Organization
PENN MEDICAL PHARMACY LLC
Active
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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