Organization
PENNSWOOD VILLAGE
Active
Other names
PENNSWOOD VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE JUMP RPH CGP (DIR OF PHARMACY)
(215) 504-1102
Entity
Organization
Contact information
Practice address
1382 NEWTOWN LANGHORNE RD, NEWTOWN, PA 18940-2418
(215) 504-1102
(215) 504-6870
Mailing address
1382 NEWTOWN LANGHORNE RD, NEWTOWN, PA 18940-2418
(215) 504-1102
(215) 504-6870
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
HP416583L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3943366
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/02/2007
Last updated
03/16/2012
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