Organization
SHIRLEY COURT PHARMACY INC
Active
Other names
UPPER DARBY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PATTON RPH (PHARMACIST OWNER)
(610) 352-3010
Entity
Organization
Contact information
Practice address
119 LONG LN, UPPER DARBY, PA 19082-3112
(610) 352-3010
(610) 352-4832
Mailing address
119 LONG LN, UPPER DARBY, PA 19082-3112
(610) 352-3010
(610) 352-4832
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP412283L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001574120002
—
PA
01
—
3909338
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
09/20/2011
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