Organization
RXHEALTH1 LLC
Active
Other names
MARPLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ASHOK LULLA (PRESIDENT)
(215) 688-6027
Entity
Organization
Contact information
Practice address
2530 W CHESTER PIKE, BROOMALL, PA 19008-2429
(610) 356-6491
(610) 356-6492
Mailing address
2530 W CHESTER PIKE, BROOMALL, PA 19008-2429
(610) 356-6491
(610) 356-6492
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP411484L
PA
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170941
PK
—
Enumeration date
03/14/2017
Last updated
04/20/2018
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