Organization
WAKEEM INC
Active
Other names
bell apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MARIE KELLY RPH (OWNER)
(610) 258-2311
Entity
Organization
Contact information
Practice address
2045 FAIRVIEW AVE, EASTON, PA 18042-3915
(610) 258-2311
(610) 252-0972
Mailing address
2045 FAIRVIEW AVE, EASTON, PA 18042-3915
(610) 258-2311
(610) 252-0972
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010448410001
—
PA
01
—
1523031
GATEWAY
PA
01
—
2830306
ALL OTHER INSURANCE
—
01
—
3928629
NCPDP
—
01
—
39HA31
CAPITAL BLUE CROSS
—
01
—
80530
MED PLUS
PA
01
—
HIGHMARK
DME INSURANCE
—
Enumeration date
06/10/2005
Last updated
07/09/2025
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