Organization
YOCUMS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARSHIL PATEL (MEMBER)
(484) 600-6666
Entity
Organization
Contact information
Practice address
1749 E BROAD ST, HAZLETON, PA 18201
(570) 454-1135
(570) 454-6097
Mailing address
1749 E BROAD ST, HAZLETON, PA 18201-5650
(570) 454-1135
(570) 454-6097
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP413634L
PA
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP413634L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00929779
—
PA
01
—
3946348
NCPDP
—
Enumeration date
02/07/2007
Last updated
02/27/2019
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