Organization
BROCKIE HEALTHCARE INC
Active
Other names
BROCKIE PHARMATECH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GILLESPIE RPH (VP OF OPR)
(717) 848-3445
Entity
Organization
Contact information
Practice address
118 PLEASANT ACRES RD, YORK, PA 17402-8975
(717) 840-7144
(717) 757-5756
Mailing address
118 PLEASANT ACRES RD, YORK, PA 17402-8975
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PP415755L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007508720011
—
PA
05
—
1007508720013
—
PA
01
—
3978600
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/29/2006
Last updated
08/22/2020
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