Organization
CAMILLA HALL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SISTER JEANNE CROWE RPH (DIRECTOR OF PHARMACY)
(610) 695-8125
Entity
Organization
Contact information
Practice address
CAMILLA HALL NURSING HOME, 1145 KING RD, IMMACULATA, PA 19345-0100
(610) 644-1152
(610) 695-0691
Mailing address
PO BOX 100, IMMACULATA, PA 19345-0100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP414299L
PA
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3959977
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/14/2006
Last updated
09/11/2025
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