Organization
ST LUKES HOMESTAR SERVICES LLC
Active
Other names
HOMESTAR PHARMACY -Bethlehem
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BORGIONI PHARMACIST (ADMINISTRATOR)
(484) 526-7650
Entity
Organization
Contact information
Practice address
801 OSTRUM ST, STE 101 A, BETHLEHEM, PA 18015-1000
(484) 526-7500
(484) 526-5199
Mailing address
801 OSTRUM ST, STE 101 A, BETHLEHEM, PA 18015-1000
(484) 526-7500
(484) 526-5199
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481615
PA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021947390001
—
PA
01
—
2082578
PK
—
Enumeration date
06/13/2008
Last updated
03/07/2016
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