Organization
SAN JUAN DE DIOS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEETA TRIPATHI (PRESIDENT)
(267) 206-3861
Entity
Organization
Contact information
Practice address
961 N 10TH ST, READING, PA 19604-2353
(610) 743-4501
Mailing address
2122 GALLOWAY RD, BENSALEM, PA 19020-2988
(267) 206-3861
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482330
PA
Other
Enumeration date
11/22/2012
Last updated
11/30/2012
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