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Organization

SKIPPACK RX LLC

Active
Other names
Skippack Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ANITHA RAO MANDAVA (PHARMACY MANAGER)
(610) 584-6544
Entity
Organization

Contact information

Practice address
4118 W SKIPPACK PIKE, SKIPPACK, PA 19474
(610) 584-6544
(610) 584-4271
Mailing address
4118 W SKIPPACK PIKE, PO BOX 797, SKIPPACK, PA 19474
(610) 584-6544
(610) 584-4271

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PP412308L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103221699-0001
PA
01
2159578
PK
Enumeration date
05/02/2016
Last updated
01/24/2018
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