Organization
CREST CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MITTAL (OWNER)
(215) 915-6075
Entity
Organization
Contact information
Practice address
240 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-2332
(215) 658-1216
(610) 658-1217
Mailing address
240 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-2332
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481086
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007428070002
—
PA
01
—
3979703
OTHER ID NUMBER
—
Enumeration date
08/09/2005
Last updated
11/13/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us