Organization
BDRX LLC
Active
Other names
Small Town Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT KEENAN RPH (OWNER/PHARMACY MANAGER/PIC/AO)
(856) 905-7610
Entity
Organization
Contact information
Practice address
1 N WEST END BLVD, QUAKERTOWN, PA 18951-1133
(215) 538-8800
(215) 538-8802
Mailing address
1 N WEST END BLVD, QUAKERTOWN, PA 18951-1133
(215) 538-8800
(215) 538-8802
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482600
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103072570
—
PA
01
—
2155651
PK
—
Enumeration date
09/15/2015
Last updated
05/23/2022
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