Organization
CLEMENS MARKET INC
Active
Other names
CLEMENS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD SHAPIRO (DIR OF PHARMACY)
(215) 361-9000
Entity
Organization
Contact information
Practice address
86 GLOCKER WAY, POTTSTOWN, PA 19465-9657
(610) 705-3373
(610) 705-1976
Mailing address
86 GLOCKER WAY, POTTSTOWN, PA 19465-9657
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3982255
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007768230012
—
PA
01
—
3982255
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/25/2006
Last updated
08/22/2020
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