Organization
PENNTRUST MEDICAL HOLDINGS LLC
Active
Other names
Yardley Pharmacy & Supply
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WILLIAM ROGERS PHARMD (PRESIDENT)
(267) 532-7073
Entity
Organization
Contact information
Practice address
175 S MAIN ST, UNIT 2, YARDLEY, PA 19067-1623
(267) 573-4555
(267) 573-4966
Mailing address
175 S MAIN ST, UNIT 2, YARDLEY, PA 19067-1623
(267) 573-4555
(267) 573-4966
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482537
PA
Other
Enumeration date
01/15/2015
Last updated
03/09/2016
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